PBM Kickback Prohibition Act

This bill changes federal law on employer-sponsored health plans (ERISA). It would bar pharmacy benefit managers that contract with these plans from paying any person or company for referring, recommending, placing, keeping, or renewing the plan's business, or for involvement in requests for proposal, market checks, evaluations, or other contracting steps. Payments would be judged by what they actually do, not by how they are labeled. Payments from a pharmacy benefit manager to a broker, consultant, or advisor would be presumed to be prohibited unless written records made at the time show they were fair market value for real services and were unrelated to those activities. The rules would apply to plan years starting after the bill becomes law.

Full text and official record on Congress.gov

Sponsors

• Rick W. Allen Republican sponsor
• 0 cosponsors