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United States · Bill · S

S. 4293 (117th)

Pharmacy Benefit Manager Transparency Act of 2022

openUnited States· United States Congress· EN

Introduced

24 May 2022

Last action

14 December 2022 · Reported

Status

Placed on Senate Legislative Calendar under General Orders. Calendar No. 647.

Sponsors

Sen. Cantwell, Maria [D-WA], Sen. Grassley, Chuck [R-IA], Sen. Boozman, John [R-AR], Sen. Braun, Mike [R-IN], Sen. Moran, Jerry [R-KS], Sen. Tillis, Thomas [R-NC], Sen. Tester, Jon [D-MT], Sen. Hyde-Smith, Cindy [R-MS], Sen. Capito, Shelley Moore [R-WV]

Subjects

Healthcare

Source updated

8 April 2026

Healthcare

Official sourceDownload fileView documentsShare

Summary

Pharmacy Benefit Manager Transparency Act of 2022 This bill generally prohibits pharmacy benefit managers (PBMs) from engaging in certain practices when managing the prescription drug benefits under a health insurance plan, including charging the plan a different amount than the PBM reimburses the pharmacy. The bill also prohibits PBMs from arbitrarily, unfairly, or deceptively (1) clawing back reimbursement payments, or (2) increasing fees or lowering reimbursements to pharmacies to offset changes to federally funded health plans. PBMs are not subject to these prohibitions if they (1) pass along 100% of any price concession or discount to the health plan, and (2) disclose specified costs, prices, reimbursements, fees, markups, discounts, and aggregate payments received with respect to their PBM services. Further, PBMs must report annually to the Federal Trade Commission (FTC) certain information about payments received from health plans and fees charged to pharmacies. The FTC and state attorneys general are authorized to enforce the provisions of the bill.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

  1. 24 May 2022

    Introduced

    Read twice and referred to the Committee on Commerce, Science, and Transportation.

    Source: IntroReferral

  2. 24 May 2022

    Introduced

    Introduced in Senate

    Source: IntroReferral

  3. 22 June 2022

    Reported

    Committee on Commerce, Science, and Transportation. Ordered to be reported with an amendment in the nature of a substitute favorably.

    Source: Committee

  4. 14 December 2022

    Calendars

    Placed on Senate Legislative Calendar under General Orders. Calendar No. 647.

    Source: Calendars

  5. 14 December 2022

    Reported

    Committee on Commerce, Science, and Transportation. Reported by Senator Cantwell with an amendment in the nature of a substitute. Without written report.

    Source: Committee

  6. 14 December 2022

    Reported

    Committee on Commerce, Science, and Transportation. Reported by Senator Cantwell with an amendment in the nature of a substitute. Without written report.

    Source: Committee

Votes

No vote records are attached yet.

Versions

Documents

6 official files

Reported to Senate (text)

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  • Reported to Senate (text)

    Reported to Senate · EN · 14 December 2022

    ViewDownloadOpen at official source

  • Reported to Senate (PDF)

    Reported to Senate · EN · 14 December 2022

    ViewDownloadOpen at official source

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  • Reported to Senate

    summary · EN · 14 December 2022

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  • Introduced in Senate (text)

    Introduced in Senate · EN · 24 May 2022

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  • Introduced in Senate (PDF)

    Introduced in Senate · EN · 24 May 2022

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  • Introduced in Senate

    summary · EN · 24 May 2022

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Sponsors

Related records

Sources

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