,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #aecb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #af1 #bjai ,mrs4  
,blackburn 7= h]self & ,mr4 ,braun7     
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to require ! ,gov]nm5t      
,acc\ntability ,(fice to /udy ! role    
ph>maceutical b5efit manag]s play 9 !   
ph>maceutical supply *a9 & 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 ,,gao ,/udy ,n 
lat] ?an #a ye> aft] ! date ( enactm5t (
 ?is ,act ! ,comptroll] ,g5]al ( !      
,unit$ ,/ates %all submit to !          
,committee on ,f9ance & ! ,committee on 
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate & to ! ,committee on ,ways &  
,means & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives a  
report t--  7#a7 addresses1 at m9imum-- 

7,a7 ! role t ph>macy b5efit manag]s    
play 9 ! ph>maceutical supply *a92  7,b7
 ! /ate ( competition among ph>macy     
b5efit manag]s1 includ+ ! m>ket %>e = ! 
,nation's #aj l>ge/ ph>macy b5efit      
manag]s2  7,c7 ! use ( rebates & fees by
 ph>macy b5efit manag]s1 includ+ data = 
ea* ( ! #aj l>ge/ ph>macy b5efit manag]s
 t reflects1 = ea* drug 9 ! =mul>y ( ea*
 su* ph>macy b5efit manag]--  7i7 !     
am\nt ( ! rebate pass$ on to pati5ts2   
7ii7 ! am\nt ( ! rebate pass$ on to     
payors2  7iii7 ! am\nt ( ! rebate kept  
by ! ph>macy b5efit manag]2 &  7iv7 !   
role ( fees *>g$ by ! ph>macy b5efit    
manag]2  7,d7 :e!r ph>macy b5efit       
manag]s /ructure _! =mul>ies 9 favor (  
high-rebate prescription drugs ov]      
l[]-co/1 l[]-rebate alt]natives2  7,e7 !
 av]age prior au?orization approval "t =
 ea* ( ! #aj l>ge/ ph>macy b5efit       
manag]s2  7,f7 factors affect+ ! use (  
/ep !rapy 9 ea* ( ! #aj l>ge/ ph>macy   
b5efit manag]s2 &  7,g7 ! ext5t to :i* !
 price t ph>macy b5efit manag]s *>ge    

payors1 su* z ! ,m$ic>e program "u title
 ,,xxviii ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #acie et seq471 ,/ate    
,m$icaid programs "u title ,,xix ( !    
,social ,security ,act 7#db ,u4,s4,c4   
#acif et seq471 ! ,f$]al ,employees     
,heal? ,b5efits ,program "u *apt] #hi ( 
title #e1 ,unit$ ,/ates ,code1 or       
private payors1 = a drug is m ?an su*   
ph>macy b5efit manag]s pay ! ph>macy = !
 drug2 &  7#b7 provides recomm5dations =
 legislative action to l[] ! co/ (      
prescription drugs = consum]s & payors1 
improve ! effici5cy ( ! ph>maceutical   
supply *a9 by l[]+ int]m$i>y co/s1      
improve competition 9 ph>macy b5efit    
managem5t1 & provide transp>5cy 9       
ph>macy b5efit managem5t4