Requires pharmacy benefit managers in federal employee health plans to reimburse pharmacies at set cost-based rates, bars them from steering patients to their own pharmacies, and passes manufacturer rebates through to patients at the counter.

• Requires pharmacy benefit managers to pay in-network pharmacies the national average acquisition cost plus a markup of the lesser of 4 percent or $50, plus a professional dispensing fee matching the state Medicaid rate
• Requires manufacturer rebates to lower patients' copayments or coinsurance based on the net drug cost, with any remaining rebate sent to the carrier
• Bars pharmacy benefit managers from steering enrollees to affiliated pharmacies, restricting pharmacy networks, or pressuring manufacturers to limit distribution
• Sets civil penalties of $10,000 per violation, with debarment after 10 penalties in a 10-year period, and takes effect one year after enactment

• Oversight and Government Reform Committee (House)

Health