PBMs in federal employee health plans would have to pay pharmacies more predictable minimum rates. Drug rebates would have to lower some patients' costs at the counter. PBMs that keep breaking the rules could face fines or get banned from the program.
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Pharmacists Fight Back [in Federal Employee Health Benefit Plans Act] is a House bill in committee. The latest recorded action: Referred to the House Committee on Oversight and Government Reform.
Latest action on H.R. 6610: Referred to the House Committee on Oversight and Government Reform.
Who this affects: This bill mainly affects people in federal employee health plans, the pharmacies that fill their prescriptions, the PBMs that run drug benefits, and the insurance carriers that hire those PBMs. The biggest direct effects are on pharmacy payments, what some patients pay at checkout, and the compliance and penalty risks for PBMs and carriers.
Why this matters: This bill matters because it could change both what pharmacies get paid and what some patients pay when they pick up medicine. It tries to stop practices that lawmakers believe squeeze pharmacies or steer patients to PBM-linked stores. It also gives OPM more tools to police the companies running drug benefits in federal employee plans. The full effect on premiums or total government spending is still unclear from the bill text.
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