,i  #aaf? ,,congress  #a/ ,session  ,h4 
,r4 #cbbc  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,june #ab1 #bjai ,mr4 
,m>%all 7= himself1 ,mr4 ,wel*1 ,mr4    
,c>t] ( ,georgia1 & ,mr4 ,gonzalez (    
,texas7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to require !      
,comptroll] ,g5]al ( ! ,unit$ ,/ates to 
/udy ! role ph>macy b5efit manag]s play 
9 ! ph>maceutical supply *a9 & to       
provide ,congress ) appropriate policy  
recomm5dations1 & = o!r purposes4  #a4  
,%ort title ,?is ,act may be cit$ z !   
,ph>macy ,b5efit ,manag] ,acc\ntability 
,/udy ,act ( #bjai4  #b4 ,/udy by       
,comptroll] ,g5]al ( ,unit$ ,/ates  7a7 
,9 g5]al ,! ,comptroll] ,g5]al ( !      
,unit$ ,/ates %all1 9 consultation )    
appropriate /akehold]s1 conduct a /udy  
on ! role ( ph>macy b5efit manag]s )    
respect to f$]ally facilitat$ ,ex*anges 
op]at$ pursuant to section #acba7;c7 ( !
 ,pati5t ,protection & ,af=dable ,c>e   
,act 7#db ,u4,s4,c4 #ahjda7;c774  7b7   

,p]missible exam9ation ,9 conduct+ !    
/udy requir$ "u subsection 7a71 !       
,comptroll] ,g5]al may exam9e v>i\s     
qualitative & quantitative aspects ( !  
role ( ph>macy b5efit manag]s ) respect 
to f$]ally facilitat$ ,ex*anges describ$
 9 su* subsection1 su* z ! foll[+3 7#a7 
,! role t ph>macy b5efit manag]s play 9 
! ph>maceutical supply *a9 ( su*        
,ex*anges4  7#b7 ,! /ate ( competition  
among ph>macy b5efit manag]s on su*     
,ex*anges1 includ+ ! m>ket %>e = !      
,nation's l>ge/ ph>macy b5efit manag]s4 
7#c7 ,! use ( rebates & fees by ph>macy 
b5efit manag]s ) respect to su*         
,ex*anges1 includ+--  7,a7 ! ext5t to   
:i* rebates are pass$ on to qualifi$    
heal? plans (f]$ on su* ,ex*anges & :e!r
 su* rebates are pass$ on to individuals
 enroll$ 9 su* plans2  7,b7 ! ext5t to  
:i* rebates are kept by su* ph>macy     
b5efit manag]s2 &  7,c7 ! role ( any    
fees *>g$ by su* ph>macy b5efit manag]s4
  7#d7 ,:e!r ph>macy b5efit manag]s     
/ructure _! =mul>ies ) respect to su*   

,ex*anges 9 favor ( high-rebate         
prescription drugs ov] l[]-co/1         
l[]-rebate alt]natives4  7#e7 ,! av]age 
prior au?orization approval "t = ph>macy
 b5efit manag]s ) respect to su*        
,ex*anges4  7#f7 ,factors affect+ ! use 
( /ep !rapy by ph>macy b5efit manag]s ) 
respect to su* ,ex*anges4  7#g7 ,! ext5t
 to :i* ! price t ph>macy b5efit manag]s
 *>ge private payors on su* ,ex*anges = 
a drug is m ?an su* ph>macy b5efit      
manag]s pay ! ph>macy = ! drug4  7c7    
,report ,n lat] ?an ! date t is ?ree    
ye>s aft] ! date ( enactm5t ( ?is ,act1 
! ,comptroll] ,g5]al %all submit to !   
,secret>y ( ,heal? & ,human ,s]vices1 ! 
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate1 & !      
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives a report conta9+
 ! results ( ! /udy conduct$ "u         
subsection 7a71 includ+ policy          
recomm5dations4