S.Amdt. 2902Senate118th Congress (2023-2025)
S.Amdt. 2902
Sponsored by
Sen. Elizabeth Warren (D-MA)
Submitted July 11, 2024
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Senate amendment submitted
July 11, 2024
Text
Submitted
SA 2902. Ms. WARREN submitted an amendment intended to be proposed by her to the bill S. 4638, to authorize appropriations for fiscal year 2025 for military activities of the Department of Defense, for military construction, and for defense activities of the Department of Energy, to prescribe military personnel strengths for such fiscal year, and for other purposes; which was ordered to lie on the table; as follows: At the end of subtitle A of title VII, insert the following: SEC. 710. REQUIRING ANY PHARMACY BENEFIT MANAGER THAT CONTRACTS WITH TRICARE TO DISCLOSE ANY REBATES, PRICE CONCESSIONS, ALTERNATIVE DISCOUNTS, OR OTHER REMUNERATION, AND ANY ADMINISTRATIVE OR OTHER FEES, RECEIVED FROM DRUG MANUFACTURERS. Section 1074g(a) of title 10, United States Code, is amended by adding at the end the following new paragraph: ``(11)(A) Beginning on January 1, 2025, the Secretary may not contract with a pharmacy benefit manager under the pharmacy benefits program unless the pharmacy benefit manager discloses to the Secretary (in a form and manner specified by the Secretary)-- ``(i) for each category or class of drugs for which a claim was filed, a breakdown of the total gross spending on drugs in such category or class before rebates, price concessions, alternative discounts, or other remuneration from drug manufacturers, and the net spending after such rebates, price concessions, alternative discounts, or other remuneration from drug manufacturers; and ``(ii) any administrative or other fees received from drug manufacturers. ``(B) In this paragraph, the term `pharmacy benefit manager' means any person or entity that, either directly or through an intermediary, acts as a price negotiator or group purchaser on behalf of the pharmacy benefits program, or manages the prescription drug benefits provided under such program, including the processing and payment of claims for prescription drugs, the performance of drug utilization review, the processing of drug prior authorization requests, the adjudication of appeals or grievances related to the pharmacy benefits program, contracting with network pharmacies, controlling the cost of prescription drugs, or the provision of related services. Such term includes any person or entity that carries out one or more of the activities described in the preceding sentence, irrespective of whether such person or entity identifies itself as a `pharmacy benefit manager'.''. ______