Us Congress 2025-2026 Regular Session

Us Congress House Bill HB950

Introduced
2/4/25  

Caption

Saving Seniors Money on Prescriptions ActThis bill establishes reporting requirements for pharmacy benefit managers (PBMs) under the Medicare prescription drug benefit and Medicare Advantage, particularly relating to the prices of prescription drugs.Specifically, PBMs must (1) disclose certain information underlying cost performance measurements (e.g., exclusions and terms), and (2) report to prescription drug plan (PDP) sponsors (and to the Centers for Medicare & Medicaid Services upon request) an itemized list of prescription drugs that were dispensed during the previous year and related data about costs, claims, affiliated pharmacies, and other specified information. PDP sponsors may audit PBMs to ensure compliance with this bill's requirements and must annually certify their compliance; PBMs are responsible for any associated civil penalties for violations.In addition, the Government Accountability Office must study federal and state reporting requirements for health plans and PBMs with respect to prescription drug price transparency and recommend ways to streamline these requirements.

Congress_id

119-HR-950

Policy_area

Health

Introduced_date

2025-02-04

Companion Bills

No companion bills found.

Previously Filed As

US HB10409

To address the high costs of health care services, prescription drugs, and health insurance coverage in the United States, and for other purposes.

US HB410

Health Care Prices Revealed and Information to Consumers Explained Transparency Act or the Health Care PRICE Transparency Act This bill provides statutory authority for requirements for hospitals and health insurance plans to disclose certain information about the costs for items and services. Specifically, hospitals must publish in their list of standard charges certain rates negotiated with insurers, discounts for cash payments, and billing codes. Further, hospitals generally must publish the standard charges for the services provided by the hospital that may be scheduled in advance. Additionally, insurance plans must publish the in-network and out-of-network charges for covered items and services and the negotiated prices for covered prescription drugs. Plans must provide a tool for consumers to search for this cost information. Consumers also may request additional information about the costs of specific items or services under their plans.

US SB1450

Cutting Medicare Prescription Drug Prices in Half Act

US HB7535

Prescription Drug Supply Chain Pricing Transparency Act

US HB75

Prescription Freedom Act of 2023 This bill generally eliminates the authority of the Food and Drug Administration (FDA) to require that a drug be dispensed only with a prescription. However, the FDA may continue to require a prescription for any drug intended for terminating a pregnancy.

US HB2893

Seniors Securing Access to Vital and Essential Prescription Drugs Act

US SB1218

Fair Prescription Drug Prices for Americans Act

US HB4028

Territories Medicare Prescription Drug Assistance Equality Act of 2023

US SB2198

Prescription Drug Supply Chain Pricing Transparency Act

US HB3093

Affordable Pricing for Taxpayer-Funded Prescription Drugs Act of 2023

Similar Bills

US SB882

Patients Before Middlemen Act

US HB2214

DRUG Act Delinking Revenue from Unfair Gouging Act

US SB641

Safe and Affordable Drugs from Canada Act of 2025

US HB3162

Affordable and Safe Prescription Drug Importation Act of 2025

US HB4084

Access to Birth Control Act

US HB9104

Access to Birth Control Act

US HB8570

SIDDI Act of 2024 Safe In-Home Drug Disposal Initiative Act of 2024

US SB5503

A bill to prohibit pharmacy benefit managers and pharmacies from being under common ownership, and for other purposes.