US Congress House Bill 1971 (Prior Session Legislation)

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Spectrum: Slight Partisan Bill (Democrat 24-11)
Status: Introduced on May 24 2011 - 25% progression, died in committee
Action: 2011-09-08 - Referred to the Subcommittee on Health, Employment, Labor, and Pensions.
Pending: House Subcommittee on Health, Employment, Labor, and Pensions Committee
Text: Latest bill text (Introduced) [PDF]

Pharmacy Competition and Consumer Choice Act of 2011 - Amends the Public Health Service Act, the Employee Retirements Income Security Act of 1974 (ERISA), the Internal Revenue Code, and part D (Voluntary Prescription Drug Benefit Program) of title XVIII (Medicare) of the Social Security Act to prohibit a group or individual health plan from entering into a contract with any pharmacy benefits manager (PBM) to manage the prescription drug coverage provided under such plan or to control the costs of such coverage unless the PBM satisfies the requirements of this Act. Directs a PBM to provide at least annually a report to each plan sponsor that includes information on the number and total costs of prescriptions under the contract, payments to pharmacies, payments from pharmaceutical manufacturers, and generic drugs and brand name drugs dispensed. Sets forth provisions governing the interaction between a PBM and pharmacies that contract with the PBM, including requiring a PBM to: (1) include in contracts drug pricing information and agree to provide timely updates on pricing, (2) agree to pay pharmacies promptly for clean claims, (3) not exclude qualifying pharmacies willing to accept terms and conditions of the PBM, and (4) require each pharmacy to sign a contract before assuming responsibility to fill prescriptions for the PBM. Prohibits a PBM from mandating or providing incentives to beneficiaries for use of a pharmacy in which the PBM has an ownership interest. Sets forth limits on audits of pharmacy providers by a PBM, including with respect to record keeping, appeals, and recoupment. Establishes limits and notice requirements related to PBMs selling claims or utilization data.

Pharmacy Competition and Consumer Choice Act of 2011

Rep. Cathy McMorris Rodgers [R-WA]	Rep. Lou Barletta [R-PA]	Rep. Timothy Bishop [D-NY]	Rep. Dan Boren [D-OK]
Rep. Leonard Boswell [D-IA]	Rep. Bruce Braley [D-IA]	Rep. Kathy Castor [D-FL]	Rep. Gerald Connolly [D-VA]
Rep. Joe Courtney [D-CT]	Rep. Mark Critz [D-PA]	Rep. Lloyd Doggett [D-TX]	Rep. Michael Fitzpatrick [R-PA]
Rep. Phil Gingrey [R-GA]	Rep. Jaime Herrera Beutler [R-WA]	Rep. Maurice Hinchey [D-NY]	Rep. Ruben Hinojosa [D-TX]
Rep. Jesse Jackson [D-IL]	Rep. Henry Johnson [D-GA]	Rep. Walter Jones [R-NC]	Rep. Dale Kildee [D-MI]
Rep. Larry Kissell [D-NC]	Rep. David Loebsack [D-IA]	Rep. Tom Marino [R-PA]	Rep. Michael Michaud [D-ME]
Rep. Collin Peterson [D-MN]	Rep. Mike Ross [D-AR]	Rep. Austin Scott [R-GA]	Rep. David Scott [D-GA]
Rep. Lee Terry [R-NE]	Rep. Edolphus Towns [D-NY]	Rep. Timothy Walz [D-MN]	Rep. Anthony Weiner [D-NY]
Sen. Peter Welch [D-VT]	Rep. Lynn Westmoreland [R-GA]	Sen. Todd Young [R-IN]

Date	Chamber	Action
2011-09-08	House	Referred to the Subcommittee on Health, Employment, Labor, and Pensions.
2011-06-06	House	Referred to the Subcommittee on Health.
2011-06-03	House	Referred to the Subcommittee on Health.
2011-05-24	House	Referred to House Education and the Workforce
2011-05-24	House	Referred to House Ways and Means
2011-05-24	House	Referred to House Energy and Commerce
2011-05-24	House	Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and Education and the Workforce, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

SB1058 (Same As) 2011-05-24 - Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

Type	Source
Summary	https://www.congress.gov/bill/112th-congress/house-bill/1971/all-info
Text	https://www.congress.gov/112/bills/hr1971/BILLS-112hr1971ih.pdf