Us Congress 2025-2026 Regular Session

Us Congress House Bill HB2214 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	I
2	2	119THCONGRESS
3	3	1
4	4	STSESSION H. R. 2214
5	5	To improve services provided by pharmacy benefit managers.
6	6	IN THE HOUSE OF REPRESENTATIVES
7	7	MARCH18, 2025
8	8	Mrs. M
9	9	ILLER-MEEKS(for herself, Ms. BARRAGA´N, Ms. MALLIOTAKIS, Mr.
10	10	S
11	11	CHNEIDER, Mr. ALLEN, and Mr. NORCROSS) introduced the following
12	12	bill; which was referred to the Committee on Energy and Commerce, and
13	13	in addition to the Committees on Ways and Means, and Education and
14	14	Workforce, for a period to be subsequently determined by the Speaker,
15	15	in each case for consideration of such provisions as fall within the juris-
16	16	diction of the committee concerned
17	17	A BILL
18	18	To improve services provided by pharmacy benefit managers.
19	19	Be it enacted by the Senate and House of Representa-1
20	20	tives of the United States of America in Congress assembled, 2
21	21	SECTION 1. SHORT TITLE. 3
22	22	This Act may be cited as the ‘‘Delinking Revenue 4
23	23	from Unfair Gouging Act’’ or the ‘‘DRUG Act’’. 5
24	24	SEC. 2. IMPROVING PHARMACY BENEFIT MANAGER SERV-6
25	25	ICES. 7
26	26	(a) P
27	27	UBLICHEALTHSERVICEACT.—Part D of title 8
28	28	XXVII of the Public Health Service Act (42 U.S.C. 9
29	29	VerDate Sep 11 2014 22:01 Mar 28, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H2214.IH H2214
30	30	kjohnson on DSK7ZCZBW3PROD with $$_JOB 2
31	31	•HR 2214 IH
32	32	300gg–111 et seq.) is amended by adding at the end the 1
33	33	following: 2
34	34	‘‘SEC. 2799A–11. IMPROVING PHARMACY BENEFIT MANAGER 3
35	35	SERVICES. 4
36	36	‘‘(a) I
37	37	NGENERAL.—Beginning on January 1, 2027, 5
38	38	except as provided in subsection (b), a pharmacy benefit 6
39	39	manager shall derive no remuneration from any entity for 7
40	40	services, benefit administration, or any other activities re-8
41	41	lated to prescription drug benefits under a group health 9
42	42	plan or group or individual health insurance coverage. 10
43	43	‘‘(b) E
44	44	XCEPTION FORBONAFIDESERVICEFEES.— 11
45	45	‘‘(1) I
46	46	N GENERAL.—A pharmacy benefit man-12
47	47	ager may charge an entity a bona fide service fee for 13
48	48	the provision of services to such entity only if such 14
49	49	fee is set forth in an agreement between the phar-15
50	50	macy benefit manager and such entity and the 16
51	51	amount of any bona fide service fee— 17
52	52	‘‘(A) is a flat dollar amount; and 18
53	53	‘‘(B) is not directly or indirectly based on, 19
54	54	or contingent upon— 20
55	55	‘‘(i) a drug price (such as wholesale 21
56	56	acquisition cost) or drug benchmark price 22
57	57	(such as average wholesale price); 23
58	58	‘‘(ii) the amount of discounts, rebates, 24
59	59	fees, or other direct or indirect remunera-25
60	60	VerDate Sep 11 2014 22:01 Mar 28, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H2214.IH H2214
61	61	kjohnson on DSK7ZCZBW3PROD with $$_JOB 3
62	62	•HR 2214 IH
63	63	tion with respect to prescription drugs pre-1
64	64	scribed to the participants, beneficiaries, or 2
65	65	enrollees in the group health plan or health 3
66	66	insurance coverage involved; or 4
67	67	‘‘(iii) any other amounts specified by 5
68	68	the Secretary, the Secretary of Labor, and 6
69	69	the Secretary of the Treasury; 7
70	70	‘‘(2) D
71	71	EFINITIONS.—In this section— 8
72	72	‘‘(A) the term ‘bona fide service fee’ means 9
73	73	a fee that is equal to the fair market value of 10
74	74	a bona fide, itemized service that is actually 11
75	75	performed on behalf of an entity, that the enti-12
76	76	ty would otherwise perform (or contract for) in 13
77	77	the absence of the service arrangement, and 14
78	78	that is not passed on in whole or in part to a 15
79	79	client or customer, whether or not the entity 16
80	80	takes title to the drug; and 17
81	81	‘‘(B) the term ‘pharmacy benefit manager’ 18
82	82	means any person, business, or other entity, 19
83	83	such as a third-party administrator, regardless 20
84	84	of whether it identifies itself as a pharmacy 21
85	85	benefit manager, that, either directly or 22
86	86	through an intermediary (including an affiliate, 23
87	87	subsidiary, or agent) or an arrangement with a 24
88	88	third-party— 25
89	89	VerDate Sep 11 2014 22:01 Mar 28, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H2214.IH H2214
90	90	kjohnson on DSK7ZCZBW3PROD with $$_JOB 4
91	91	•HR 2214 IH
92	92	‘‘(i) acts a price negotiator for pre-1
93	93	scription drugs on behalf of a group health 2
94	94	plan or health insurance issuer offering 3
95	95	group or individual health insurance cov-4
96	96	erage; or 5
97	97	‘‘(ii) manages or administers the pre-6
98	98	scription drug benefits provided by a group 7
99	99	health plan or health insurance issuer of-8
100	100	fering group or individual health insurance 9
101	101	coverage, including creating formularies, 10
102	102	the processing and payment of claims for 11
103	103	prescription drugs, arranging alternative 12
104	104	access to or funding for prescription drugs, 13
105	105	the performance of drug utilization review, 14
106	106	the processing of drug prior authorization 15
107	107	requests, the adjudication of appeals or 16
108	108	grievances related to the prescription drug 17
109	109	benefit, contracting with network phar-18
110	110	macies (including retail and mail phar-19
111	111	macies), controlling the cost of covered 20
112	112	prescription drugs, or the provision of re-21
113	113	lated services. 22
114	114	‘‘(c) E
115	115	NFORCEMENT.— 23
116	116	VerDate Sep 11 2014 22:01 Mar 28, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H2214.IH H2214
117	117	kjohnson on DSK7ZCZBW3PROD with $$_JOB 5
118	118	•HR 2214 IH
119	119	‘‘(1) IN GENERAL.—The Secretary, in consulta-1
120	120	tion with the Secretary of Labor and the Secretary 2
121	121	of the Treasury, shall enforce this section. 3
122	122	‘‘(2) D
123	123	ISGORGEMENT.—The pharmacy benefit 4
124	124	manager shall disgorge to a group health plan or 5
125	125	health insurance issuer offering group or individual 6
126	126	health insurance coverage any payment, remunera-7
127	127	tion, or other amount received by the pharmacy ben-8
128	128	efit manager or an affiliate of such pharmacy benefit 9
129	129	manager from such plan or issuer in violation of 10
130	130	subsection (a) or, pursuant to subsection (b), the 11
131	131	agreement entered into with such plan or issuer for 12
132	132	bona fide service fees. 13
133	133	‘‘(3) P
134	134	ENALTIES.—A pharmacy benefit man-14
135	135	ager that violates subsection (a) or (b) shall be sub-15
136	136	ject to a civil monetary penalty in the amount of 16
137	137	$10,000 for each day during which such violation 17
138	138	continues. 18
139	139	‘‘(4) P
140	140	ROCEDURE.—Notwithstanding section 19
141	141	2723, the provisions of section 1128A of the Social 20
142	142	Security Act, other than subsection (a) and (b) and 21
143	143	the first sentence of subsection (c)(1) of such sec-22
144	144	tion, shall apply to civil monetary penalties under 23
145	145	this subsection in the same manner as such provi-24
146	146	VerDate Sep 11 2014 22:01 Mar 28, 2025 Jkt 059200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H2214.IH H2214
147	147	kjohnson on DSK7ZCZBW3PROD with $$_JOB 6
148	148	•HR 2214 IH
149	149	sions apply to a penalty or proceeding under section 1
150	150	1128A of the Social Security Act. 2
151	151	‘‘(d) R
152	152	EGULATIONS.—Notwithstanding any other 3
153	153	provision of law, the Secretary, in consultation with the 4
154	154	Secretary of Labor and the Secretary of the Treasury, 5
155	155	shall implement this section through interim final regula-6
156	156	tions. 7
157	157	‘‘(e) R
158	158	ULES OFCONSTRUCTION.—Nothing in this 8
159	159	section shall be construed— 9
160	160	‘‘(1) as prohibiting payments related to reim-10
161	161	bursement for ingredient costs to entities that ac-11
162	162	quire prescription drugs or pharmacy dispensing 12
163	163	fees; and 13
164	164	‘‘(2) to prohibit rebates, discounts, or other 14
165	165	price concessions from being fully passed through to 15
166	166	a group health plan or health insurance issuer offer-16
167	167	ing group or individual health insurance coverage to 17
168	168	lower net costs for prescription drugs.’’. 18
169	169	(b) ERISA.— 19
170	170	(1) I
171	171	N GENERAL.—Subpart B of part 7 of sub-20
172	172	title B of title I of the Employee Retirement Income 21
173	173	Security Act of 1974 (29 U.S.C. 1185 et seq.) is 22
174	174	amended by inserting after section 725 the fol-23
175	175	lowing: 24
176	176	VerDate Sep 11 2014 22:01 Mar 28, 2025 Jkt 059200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\H2214.IH H2214
177	177	kjohnson on DSK7ZCZBW3PROD with $$_JOB 7
178	178	•HR 2214 IH
179	179	‘‘SEC. 726. IMPROVING PHARMACY BENEFIT MANAGER 1
180	180	SERVICES. 2
181	181	‘‘(a) G
182	182	ENERAL.—Beginning on January 1, 2027, ex-3
183	183	cept as provided in subsection (b), a pharmacy benefit 4
184	184	manager shall derive no remuneration from any entity for 5
185	185	services, benefit administration, or any other activities re-6
186	186	lated to prescription drug benefits under a group health 7
187	187	plan or group health insurance coverage. 8
188	188	‘‘(b) E
189	189	XCEPTION FORBONAFIDESERVICEFEES.— 9
190	190	‘‘(1) I
191	191	N GENERAL.—A pharmacy benefit man-10
192	192	ager may charge an entity a bona fide service fee for 11
193	193	the provision of services to an entity only if such fee 12
194	194	is set forth in an agreement between the pharmacy 13
195	195	benefit manager and such entity and the amount of 14
196	196	any bona fide service fee— 15
197	197	‘‘(A) is a flat dollar amount; and 16
198	198	‘‘(B) is not directly or indirectly based on, 17
199	199	or contingent upon— 18
200	200	‘‘(i) a drug price (such as wholesale 19
201	201	acquisition cost) or drug benchmark price 20
202	202	(such as average wholesale price); 21
203	203	‘‘(ii) the amount of discounts, rebates, 22
204	204	fees, or other direct or indirect remunera-23
205	205	tion with respect to prescription drugs pre-24
206	206	scribed to the participants, beneficiaries, or 25
207	207	VerDate Sep 11 2014 22:01 Mar 28, 2025 Jkt 059200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H2214.IH H2214
208	208	kjohnson on DSK7ZCZBW3PROD with $$_JOB 8
209	209	•HR 2214 IH
210	210	enrollees in the group health plan or health 1
211	211	insurance coverage involved; or 2
212	212	‘‘(iii) any other amounts specified by 3
213	213	the Secretary, the Secretary of Health and 4
214	214	Human Services, and the Secretary of the 5
215	215	Treasury. 6
216	216	‘‘(2) D
217	217	EFINITIONS.—In this section— 7
218	218	‘‘(A) the term ‘bona fide service fee’ means 8
219	219	a fee that is equal to the fair market value of 9
220	220	a bona fide, itemized service that is actually 10
221	221	performed on behalf of an entity, that the enti-11
222	222	ty would otherwise perform (or contract for) in 12
223	223	the absence of the service arrangement, and 13
224	224	that is not passed on in whole or in part to a 14
225	225	client or customer, whether or not the entity 15
226	226	takes title to the drug; and 16
227	227	‘‘(B) the term ‘pharmacy benefit manager’ 17
228	228	means any person, business, or other entity, 18
229	229	such as a third-party administrator, regardless 19
230	230	of whether it identifies itself as a pharmacy 20
231	231	benefit manager, that, either directly or 21
232	232	through an intermediary (including an affiliate, 22
233	233	subsidiary, or agent) or an arrangement with a 23
234	234	third-party— 24
235	235	VerDate Sep 11 2014 22:01 Mar 28, 2025 Jkt 059200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\H2214.IH H2214
236	236	kjohnson on DSK7ZCZBW3PROD with $$_JOB 9
237	237	•HR 2214 IH
238	238	‘‘(i) acts a price negotiator for pre-1
239	239	scription drugs on behalf of a group health 2
240	240	plan or health insurance issuer offering 3
241	241	group health insurance coverage; or 4
242	242	‘‘(ii) manages or administers the pre-5
243	243	scription drug benefits provided by a group 6
244	244	health plan or health insurance issuer of-7
245	245	fering group health insurance coverage, in-8
246	246	cluding creating formularies, the proc-9
247	247	essing and payment of claims for prescrip-10
248	248	tion drugs, arranging alternative access to 11
249	249	or funding for prescription drugs, the per-12
250	250	formance of drug utilization review, the 13
251	251	processing of drug prior authorization re-14
252	252	quests, the adjudication of appeals or 15
253	253	grievances related to the prescription drug 16
254	254	benefit, contracting with network phar-17
255	255	macies (including retail and mail phar-18
256	256	macies), controlling the cost of covered 19
257	257	prescription drugs, or the provision of re-20
258	258	lated services. 21
259	259	‘‘(c) E
260	260	NFORCEMENT.—The Secretary shall enforce 22
261	261	this section as provided for in section 502(c)(13). 23
262	262	‘‘(d) R
263	263	EGULATIONS.—Notwithstanding any other 24
264	264	provision of law, the Secretary, in consultation with the 25
265	265	VerDate Sep 11 2014 22:01 Mar 28, 2025 Jkt 059200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\H2214.IH H2214
266	266	kjohnson on DSK7ZCZBW3PROD with $$_JOB 10
267	267	•HR 2214 IH
268	268	Secretary of Health and Human Services and the Sec-1
269	269	retary of the Treasury, shall implement this section 2
270	270	through interim final regulations. 3
271	271	‘‘(e) R
272	272	ULES OFCONSTRUCTION.—Nothing in this 4
273	273	section shall be construed— 5
274	274	‘‘(1) as prohibiting payments related to reim-6
275	275	bursement for ingredient costs to entities that ac-7
276	276	quire prescription drugs or pharmacy dispensing 8
277	277	fees; and 9
278	278	‘‘(2) to prohibit rebates, discounts, or other 10
279	279	price concessions from being fully passed through to 11
280	280	a group health plan or health insurance issuer offer-12
281	281	ing group health insurance coverage to lower net 13
282	282	costs for prescription drugs.’’. 14
283	283	(2) E
284	284	NFORCEMENT.—Section 502 of the Em-15
285	285	ployee Retirement Income Security Act of 1974 (29 16
286	286	U.S.C. 1132) is amended— 17
287	287	(A) in subsection (a)(6), by striking ‘‘or 18
288	288	(9)’’ and inserting ‘‘(9), or (13)’’; and 19
289	289	(B) in subsection (c), by adding at the end 20
290	290	the following: 21
291	291	‘‘(13) S
292	292	ECRETARIALENFORCEMENTAUTHORITYRE-22
293	293	LATING TOPHARMACYBENEFITMANAGERSERVICES.— 23
294	294	‘‘(A) D
295	295	ISGORGEMENT.—With respect to a viola-24
296	296	tion of section 726 by a pharmacy benefit manager, 25
297	297	VerDate Sep 11 2014 22:01 Mar 28, 2025 Jkt 059200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\H2214.IH H2214
298	298	kjohnson on DSK7ZCZBW3PROD with $$_JOB 11
299	299	•HR 2214 IH
300	300	such pharmacy benefit manager shall disgorge to a 1
301	301	group health plan or health insurance issuer offering 2
302	302	group health insurance coverage any payment, remu-3
303	303	neration, or other amount received by the pharmacy 4
304	304	benefit manager or an affiliate of such pharmacy 5
305	305	benefit manager from such plan or issuer in viola-6
306	306	tion of subsection (a) of such section or, pursuant to 7
307	307	subsection (b) of such section, the agreement en-8
308	308	tered into with such plan or issuer for bona fide 9
309	309	service fees. 10
310	310	‘‘(B) P
311	311	ENALTIES.—A pharmacy benefit man-11
312	312	ager that violates subsection (a) or (b) of section 12
313	313	726 shall be subject to a civil monetary penalty in 13
314	314	the amount of $10,000 for each day during which 14
315	315	such violation continues. 15
316	316	‘‘(C) P
317	317	ROCEDURE.—Except as provided in this 16
318	318	paragraph, the provisions of this section shall apply 17
319	319	to civil monetary penalties under this paragraph in 18
320	320	the same manner as such provisions apply to other 19
321	321	civil penalties under this section. 20
322	322	‘‘(D) R
323	323	ULE OF CONSTRUCTION .—Nothing in 21
324	324	this paragraph shall effect the authority of the Sec-22
325	325	retary under subsection (a)(5).’’. 23
326	326	(3) C
327	327	LERICAL AMENDMENT .—The table of con-24
328	328	tents in section 1 of the Employee Retirement In-25
329	329	VerDate Sep 11 2014 22:01 Mar 28, 2025 Jkt 059200 PO 00000 Frm 00011 Fmt 6652 Sfmt 6201 E:\BILLS\H2214.IH H2214
330	330	kjohnson on DSK7ZCZBW3PROD with $$_JOB 12
331	331	•HR 2214 IH
332	332	come Security Act of 1974 (29 U.S.C. 1001 et seq.) 1
333	333	is amended by inserting after the item relating to 2
334	334	section 725 the following new item: 3
335	335	Sec. 726. Improving pharmacy benefit manager services.
336	336	(c) INTERNALREVENUECODE OF1986.— 4
337	337	(1) I
338	338	N GENERAL.—Subchapter B of chapter 5
339	339	100 of the Internal Revenue Code of 1986 is amend-6
340	340	ed by adding at the end the following: 7
341	341	‘‘SEC. 9826. IMPROVING PHARMACY BENEFIT MANAGER 8
342	342	SERVICES. 9
343	343	‘‘(a) I
344	344	NGENERAL.—Beginning on January 1, 2027, 10
345	345	except as provided in subsection (b), a pharmacy benefit 11
346	346	manager shall derive no remuneration from any entity for 12
347	347	services, benefit administration, or any other activities re-13
348	348	lated to prescription drug benefits under a group health 14
349	349	plan. 15
350	350	‘‘(b) E
351	351	XCEPTION FORBONAFIDESERVICEFEES.— 16
352	352	‘‘(1) I
353	353	N GENERAL.—A pharmacy benefit man-17
354	354	ager may charge an entity a bona fide service fee for 18
355	355	the provision of services to such entity only if such 19
356	356	fee is set forth in an agreement between the phar-20
357	357	macy benefit manager and such entity and the 21
358	358	amount of any bona fide service fee— 22
359	359	‘‘(A) is a flat dollar amount; and 23
360	360	‘‘(B) is not directly or indirectly based on, 24
361	361	or contingent upon— 25
362	362	VerDate Sep 11 2014 22:01 Mar 28, 2025 Jkt 059200 PO 00000 Frm 00012 Fmt 6652 Sfmt 6201 E:\BILLS\H2214.IH H2214
363	363	kjohnson on DSK7ZCZBW3PROD with $$_JOB 13
364	364	•HR 2214 IH
365	365	‘‘(i) a drug price (such as wholesale 1
366	366	acquisition cost) or drug benchmark price 2
367	367	(such as average wholesale price); 3
368	368	‘‘(ii) the amount of discounts, rebates, 4
369	369	fees, or other direct or indirect remunera-5
370	370	tion with respect to prescription drugs pre-6
371	371	scribed to the participants, beneficiaries, or 7
372	372	enrollees in the group health plan involved; 8
373	373	or 9
374	374	‘‘(iii) any other amounts specified by 10
375	375	the Secretary, the Secretary of Health and 11
376	376	Human Services, and the Secretary of the 12
377	377	Labor. 13
378	378	‘‘(2) D
379	379	EFINITIONS.—In this section— 14
380	380	‘‘(A) the term ‘bona fide service fee’ means 15
381	381	a fee that is equal to the fair market value of 16
382	382	a bona fide, itemized service that is actually 17
383	383	performed on behalf of an entity, that the enti-18
384	384	ty would otherwise perform (or contract for) in 19
385	385	the absence of the service arrangement, and 20
386	386	that is not passed on in whole or in part to a 21
387	387	client or customer, whether or not the entity 22
388	388	takes title to the drug; and 23
389	389	‘‘(B) the term ‘pharmacy benefit manager’ 24
390	390	means any person, business, or other entity 25
391	391	VerDate Sep 11 2014 22:01 Mar 28, 2025 Jkt 059200 PO 00000 Frm 00013 Fmt 6652 Sfmt 6201 E:\BILLS\H2214.IH H2214
392	392	kjohnson on DSK7ZCZBW3PROD with $$_JOB 14
393	393	•HR 2214 IH
394	394	such as a third-party administrator, regardless 1
395	395	of whether it identifies itself as a pharmacy 2
396	396	benefit manager, that, either directly or 3
397	397	through an intermediary (including an affiliate, 4
398	398	subsidiary, or agent) or an arrangement with a 5
399	399	third-party— 6
400	400	‘‘(i) acts as a price negotiator for pre-7
401	401	scription drugs on behalf of a group health 8
402	402	plan; or 9
403	403	‘‘(ii) manages or administers the pre-10
404	404	scription drug benefits provided by a group 11
405	405	health plan, including creating formularies, 12
406	406	the processing and payment of claims for 13
407	407	prescription drugs, arranging alternative 14
408	408	access to or funding for prescription drugs, 15
409	409	the performance of drug utilization review, 16
410	410	the processing of drug prior authorization 17
411	411	requests, the adjudication of appeals or 18
412	412	grievances related to the prescription drug 19
413	413	benefit, contracting with network phar-20
414	414	macies, controlling the cost of covered pre-21
415	415	scription drugs, or the provision of related 22
416	416	services. 23
417	417	‘‘(c) E
418	418	NFORCEMENT.— 24
419	419	VerDate Sep 11 2014 22:01 Mar 28, 2025 Jkt 059200 PO 00000 Frm 00014 Fmt 6652 Sfmt 6201 E:\BILLS\H2214.IH H2214
420	420	kjohnson on DSK7ZCZBW3PROD with $$_JOB 15
421	421	•HR 2214 IH
422	422	‘‘(1) IN GENERAL.—The Secretary, in consulta-1
423	423	tion with the Secretary of Health and Human Serv-2
424	424	ices and the Secretary of Labor, shall enforce this 3
425	425	section. 4
426	426	‘‘(2) D
427	427	ISGORGEMENT.—The pharmacy benefit 5
428	428	manager shall disgorge to a group health plan any 6
429	429	payment, remuneration, or other amount received by 7
430	430	the pharmacy benefit manager or an affiliate of such 8
431	431	pharmacy benefit manager from such plan or issuer 9
432	432	in violation of subsection (a) or, pursuant to sub-10
433	433	section (b), the agreement entered into with such 11
434	434	plan for bona fide service fees. 12
435	435	‘‘(3) P
436	436	ENALTIES.—A pharmacy benefit man-13
437	437	ager that violates subsection (a) or (b) shall be sub-14
438	438	ject to a civil monetary penalty in the amount of 15
439	439	$10,000 for each day during which such violation 16
440	440	continues. 17
441	441	‘‘(4) P
442	442	ROCEDURE.—The provisions of section 18
443	443	1128A of the Social Security Act, other than sub-19
444	444	section (a) and (b) and the first sentence of sub-20
445	445	section (c)(1) of such section, shall apply to civil 21
446	446	monetary penalties under this subsection in the 22
447	447	same manner as such provisions apply to a penalty 23
448	448	or proceeding under section 1128A of the Social Se-24
449	449	curity Act. 25
450	450	VerDate Sep 11 2014 22:01 Mar 28, 2025 Jkt 059200 PO 00000 Frm 00015 Fmt 6652 Sfmt 6201 E:\BILLS\H2214.IH H2214
451	451	kjohnson on DSK7ZCZBW3PROD with $$_JOB 16
452	452	•HR 2214 IH
453	453	‘‘(d) REGULATIONS.—Notwithstanding any other 1
454	454	provision of law, the Secretary, in consultation with the 2
455	455	Secretary of Health and Human Services and the Sec-3
456	456	retary of Labor, shall implement this section through in-4
457	457	terim final regulations.’’. 5
458	458	(2) C
459	459	LERICAL AMENDMENT .—The table of sec-6
460	460	tions for subchapter B of chapter 100 of the Inter-7
461	461	nal Revenue Code of 1986 is amended by adding at 8
462	462	the end the following new item: 9
463	463	‘‘Sec. 9826. Improving pharmacy benefit manager services.’’.
464	464	Æ
465	465	VerDate Sep 11 2014 22:01 Mar 28, 2025 Jkt 059200 PO 00000 Frm 00016 Fmt 6652 Sfmt 6301 E:\BILLS\H2214.IH H2214
466	466	kjohnson on DSK7ZCZBW3PROD with $$_JOB