,,ii  #aaf? ,,congress  #b;d ,session   
,s4 #diei  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #c1 #bjbj,mr4 
,braun introduc$ ! foll[+ bill2 :i* 0   
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to increase transp>5cy &    
access to gr\p heal? plan & heal? issu] 
report+1 & = o!r purposes4  #a4 ,report+
 on ph>macy b5efits & drug co/s  7a7    
,,p%a ,subp>t ,,ii ( "p ,a ( title      
,,xxvii ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #cjj;gg-#aa et seq47 is  
am5d$ by add+ at ! end ! foll[+3        
#bgbi;,a4 ,report+ on ph>macy b5efits & 
drug co/s  7a7 ,9 g5]al ,n lat] ?an #a  
ye> aft] ! date ( enactm5t ( ?is        
section1 & n lat] ?an ,m>* #a ( ea* ye> 
!reaft]1 a gr\p heal? plan or heal?     
insurance issu] (f]+ gr\p or individual 
heal? insurance cov]age 7except = a *ur*
 plan7 %all submit to ! ,secret>y1 !    
,secret>y ( ,labor1 & ! ,secret>y ( !   
,treasury ! foll[+ in=mation ) respect  
to ! heal? plan or cov]age 9 ! previ\s  

plan ye>3 7#a7 ,! beg9n+ & end dates ( !
 plan ye>4  7#b7 ,! numb] ( enrollees4  
7#c7 ,ea* ,/ate 9 :i* ! plan or cov]age 
is (f]$4  7#d7 ,! #ej br& prescription  
drugs mo/ frequ5tly disp5s$ by ph>macies
 = claims paid by ! plan or cov]age1 & !
 total numb] ( paid claims = ea* su*    
drug4  7#e7 ,! #ej mo/ co/ly            
prescription drugs ) respect to ! plan  
or cov]age by total annual sp5d+1 & !   
annual am\nt sp5t by ! plan or cov]age =
 ea* su* drug4  7#f7 ,! #ej prescription
 drugs ) ! greate/ increase 9 plan      
exp5ditures ov] ! plan ye> prec$+ ! plan
 ye> t is ! subject ( ! report1 &1 = ea*
 su* drug1 ! *ange 9 am\nts exp5d$ by ! 
plan or cov]age 9 ea* su* plan ye>4     
7#g7 ,total sp5d+ on heal? c>e s]vices  
by su* gr\p heal? plan or heal?         
insurance cov]age1 brok5 d[n by-- 7,a7 !
 type ( co/s1 includ+-- 7i7 hospital    
co/s2  7ii7 heal? c>e provid] & cl9ical 
s]vice co/s1 = prim>y c>e & specialty   
c>e sep>ately2  7iii7 co/s =            
prescription drugs2 &  7iv7 o!r m$ical  

co/s1 includ+ wellness s]vices2 &  7,b7 
sp5d+ on prescription drugs by-- 7i7 !  
heal? plan or cov]age2 &  7ii7 !        
enrollees4  7#h7 ,! av]age mon?ly       
premium-- 7,a7 paid by employ]s on      
behalf ( enrollees1 z applicable2 &     
7,b7 paid by enrollees4  7#i7 ,any      
impact on premiums by rebates1 fees1 &  
any o!r remun]ation paid by drug        
manufactur]s to ! plan or cov]age or its
 adm9i/rators or s]vice provid]s1 )     
respect to prescription drugs prescrib$ 
to enrollees 9 ! plan or cov]age1       
includ+-- 7,a7 ! am\nts s paid = ea*    
!rapeutic class ( drugs2 &  7,b7 !      
am\nts s paid = ea* ( ! #be drugs t     
yield$ ! highe/ am\nt ( rebates & o!r   
remun]ation "u ! plan or cov]age f drug 
manufactur]s dur+ ! plan ye>4  7#aj7    
,any r$uction 9 premiums & out-(-pocket 
co/s associat$ ) rebates1 fees1 or o!r  
remun]ation describ$ 9 p>agraph 7#i74   
7b7 ,report ,n lat] ?an #ah mon?s aft] !
 date on :i* ! fir/ report is requir$ "u
 subsection 7a7 & biannually !reaft]1 ! 

,secret>y1 act+ ?r\gh ! ,assi/ant       
,secret>y ( ,plann+ & ,evaluation & 9   
coord9ation ) ! ,inspector ,g5]al ( !   
,dep>tm5t ( ,heal? & ,human ,s]vices1   
%all make available on ! int]net website
 ( ! ,dep>tm5t ( ,heal? & ,human        
,s]vices a report on prescription drug  
reimbursem5ts "u gr\p heal? plans & gr\p
 & individual heal? insurance cov]age1  
prescription drug pric+ tr5ds1 & ! role 
( prescription drug co/s 9 contribut+ to
 premium increases or decreases "u su*  
plans or cov]age1 aggregat$ 9 su* a way 
z no drug or plan specific in=mation w  
be made public4  7c7 ,privacy           
protections ,no confid5tial or trade    
secret in=mation submitt$ to ! ,secret>y
 "u subsection 7a7 %all be includ$ 9 !  
report "u subsection 7b74  4  7b7       
,,erisa ,subp>t ,b ( "p #g ( subtitle ,b
 ( title ,i ( ! ,employee ,retirem5t    
,income ,security ,act ( #aigd 7#bi     
,u4,s4,c4 #aahe et seq47 is am5d$ by    
add+ at ! end ! foll[+3  #gaf4 ,report+ 
on ph>macy b5efits & drug co/s  7a7 ,9  

g5]al ,n lat] ?an #a ye> aft] ! date (  
enactm5t ( ?is section1 & n lat] ?an    
,m>* #a ( ea* ye> !reaft]1 a gr\p heal? 
plan 7or heal? insurance cov]age (f]$ 9 
connection ) su* a plan7 %all submit to 
! ,secret>y1 ! ,secret>y ( ,heal? &     
,human ,s]vices1 & ! ,secret>y ( !      
,treasury ! foll[+ in=mation ) respect  
to ! heal? plan or cov]age 9 ! previ\s  
plan ye>3 7#a7 ,! beg9n+ & end dates ( !
 plan ye>4  7#b7 ,! numb] ( p>ticipants 
& b5efici>ies4  7#c7 ,ea* ,/ate 9 :i* ! 
plan or cov]age is (f]$4  7#d7 ,! #ej   
br& prescription drugs mo/ frequ5tly    
disp5s$ by ph>macies = claims paid by ! 
plan or cov]age1 & ! total numb] ( paid 
claims = ea* su* drug4  7#e7 ,! #ej mo/ 
co/ly prescription drugs ) respect to ! 
plan or cov]age by total annual sp5d+1 &
 ! annual am\nt sp5t by ! plan or       
cov]age = ea* su* drug4  7#f7 ,! #ej    
prescription drugs ) ! greate/ increase 
9 plan exp5ditures ov] ! plan ye> prec$+
 ! plan ye> t is ! subject ( ! report1  
&1 = ea* su* drug1 ! *ange 9 am\nts     

exp5d$ by ! plan or cov]age 9 ea* su*   
plan ye>4  7#g7 ,total sp5d+ on heal?   
c>e s]vices by su* gr\p heal? plan or   
heal? insurance cov]age1 brok5 d[n by-- 
7,a7 ! type ( co/s1 includ+-- 7i7       
hospital co/s2  7ii7 heal? c>e provid] &
 cl9ical s]vice co/s1 = prim>y c>e &    
specialty c>e sep>ately2  7iii7 co/s =  
prescription drugs2 &  7iv7 o!r m$ical  
co/s1 includ+ wellness s]vices2 &  7,b7 
sp5d+ on prescription drugs by-- 7i7 !  
heal? plan or cov]age2 &  7ii7 !        
p>ticipants & b5efici>ies4  7#h7 ,!     
av]age mon?ly premium-- 7,a7 paid by    
employ]s on behalf ( p>ticipants &      
b5efici>ies1 z applicable2 &  7,b7 paid 
by p>ticipants & b5efici>ies4  7#i7 ,any
 impact on premiums by rebates1 fees1 & 
any o!r remun]ation paid by drug        
manufactur]s to ! plan or cov]age or its
 adm9i/rators or s]vice provid]s1 )     
respect to prescription drugs prescrib$ 
to p>ticipants & b5efici>ies 9 ! plan or
 cov]age1 includ+-- 7,a7 ! am\nts s paid
 = ea* !rapeutic class ( drugs2 &  7,b7 

! am\nts s paid = ea* ( ! #be drugs t   
yield$ ! highe/ am\nt ( rebates & o!r   
remun]ation "u ! plan or cov]age f drug 
manufactur]s dur+ ! plan ye>4  7#aj7    
,any r$uction 9 premiums & out-(-pocket 
co/s associat$ ) rebates1 fees1 or o!r  
remun]ation describ$ 9 p>agraph 7#i74   
7b7 ,report ,n lat] ?an #ah mon?s aft] !
 date on :i* ! fir/ report is requir$ "u
 subsection 7a7 & biannually !reaft]1 ! 
,secret>y1 act+ 9 coord9ation ) !       
,inspector ,g5]al ( ! ,dep>tm5t (       
,labor1 %all make available on ! int]net
 website ( ! ,dep>tm5t ( ,labor a report
 on prescription drug reimbursem5ts "u  
gr\p heal? plans 7or heal? insurance    
cov]age (f]$ 9 connection ) su* a plan71
 prescription drug pric+ tr5ds1 & ! role
 ( prescription drug co/s 9 contribut+  
to premium increases or decreases "u su*
 plans or cov]age1 aggregat$ 9 su* a way
 z no drug or plan specific in=mation w 
be made public4  7c7 ,privacy           
protections ,no confid5tial or trade    
secret in=mation submitt$ to ! ,secret>y

 "u subsection 7a7 %all be includ$ 9 !  
report "u subsection 7b74  4  7c7 ,,irc 
,sub*apt] ,b ( *apt] #ajj ( ! ,int]nal  
,rev5ue ,code ( #aihf is am5d$ by add+  
at ! end ! foll[+3  #ihaf4 ,report+ on  
ph>macy b5efits & drug co/s  7a7 ,9     
g5]al ,n lat] ?an #a ye> aft] ! date (  
enactm5t ( ?is section1 & n lat] ?an    
,m>* #a ( ea* ye> !reaft]1 a gr\p heal? 
plan %all submit to ! ,secret>y1 !      
,secret>y ( ,heal? & ,human ,s]vices1 & 
! ,secret>y ( ,labor ! foll[+ in=mation 
) respect to ! heal? plan 9 ! previ\s   
plan ye>3 7#a7 ,! beg9n+ & end dates ( !
 plan ye>4  7#b7 ,! numb] ( p>ticipants 
& b5efici>ies4  7#c7 ,ea* ,/ate 9 :i* ! 
plan is (f]$4  7#d7 ,! #ej br&          
prescription drugs mo/ frequ5tly disp5s$
 by ph>macies = claims paid by ! plan1 &
 ! total numb] ( paid claims = ea* su*  
drug4  7#e7 ,! #ej mo/ co/ly            
prescription drugs ) respect to ! plan  
by total annual sp5d+1 & ! annual am\nt 
sp5t by ! plan = ea* su* drug4  7#f7 ,! 
#ej prescription drugs ) ! greate/      

increase 9 plan exp5ditures ov] ! plan  
ye> prec$+ ! plan ye> t is ! subject ( !
 report1 &1 = ea* su* drug1 ! *ange 9   
am\nts exp5d$ by ! plan 9 ea* su* plan  
ye>4  7#g7 ,total sp5d+ on heal? c>e    
s]vices by su* gr\p heal? plan1 brok5   
d[n by-- 7,a7 ! type ( co/s1 includ+--  
7i7 hospital co/s2  7ii7 heal? c>e      
provid] & cl9ical s]vice co/s1 = prim>y 
c>e & specialty c>e sep>ately2  7iii7   
co/s = prescription drugs2 &  7iv7 o!r  
m$ical co/s1 includ+ wellness s]vices2 &
  7,b7 sp5d+ on prescription drugs by-- 
7i7 ! heal? plan2 &  7ii7 ! p>ticipants 
& b5efici>ies4  7#h7 ,! av]age mon?ly   
premium-- 7,a7 paid by employ]s on      
behalf ( p>ticipants & b5efici>ies1 z   
applicable2 &  7,b7 paid by p>ticipants 
& b5efici>ies4  7#i7 ,any impact on     
premiums by rebates1 fees1 & any o!r    
remun]ation paid by drug manufactur]s to
 ! plan or its adm9i/rators or s]vice   
provid]s1 ) respect to prescription     
drugs prescrib$ to p>ticipants or       
b5efici>ies 9 ! plan1 includ+-- 7,a7 !  

am\nts s paid = ea* !rapeutic class (   
drugs2 &  7,b7 ! am\nts s paid = ea* ( !
 #be drugs t yield$ ! highe/ am\nt (    
rebates & o!r remun]ation "u ! plan f   
drug manufactur]s dur+ ! plan ye>4      
7#aj7 ,any r$uction 9 premiums &        
out-(-pocket co/s associat$ ) rebates1  
fees1 or o!r remun]ation describ$ 9     
p>agraph 7#i74  7b7 ,report ,n lat] ?an 
#ah mon?s aft] ! date on :i* ! fir/     
report is requir$ "u subsection 7a7 &   
biannually !reaft]1 ! ,secret>y1 act+ 9 
coord9ation ) ! ,inspector ,g5]al ( !   
,dep>tm5t ( ! ,treasury1 %all make      
available on ! int]net website ( !      
,dep>tm5t ( ! ,treasury a report on     
prescription drug reimbursem5ts "u gr\p 
heal? plans1 prescription drug pric+    
tr5ds1 & ! role ( prescription drug co/s
 9 contribut+ to premium increases or   
decreases "u su* plans1 aggregat$ 9 su* 
a way z no drug or plan specific        
in=mation w be made public4  7c7        
,privacy protections ,no confid5tial or 
trade secret in=mation submitt$ to !    

,secret>y "u subsection 7a7 %all be     
includ$ 9 ! report "u subsection 7b74  4
  7d7 ,cl]ical am5dm5ts  7#a7 ,,erisa ,!
 table ( cont5ts 9 section #a ( !       
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4 #ajja et    
seq47 is am5d$ by ins]t+ aft] ! item    
relat+ to section #gad ! foll[+ new     
items3  ,sec4 #gae4 ,additional m>ket   
re=ms4,sec4 #gaf4 ,report+ on ph>macy   
b5efits & drug co/s4  4  7#b7 ,,irc ,!  
table ( sections = sub*apt] ,b ( *apt]  
#ajj ( ! ,int]nal ,rev5ue ,code ( #aihf 
is am5d$ by add+ at ! end ! foll[+ new  
item3  ,sec4 #ihaf4 ,report+ on ph>macy 
b5efits & drug co/s4  4