,,ii  #aafth ,,congress  #ast ,session  
,s4 #feg  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,march #e1 #bjai,mr4
 ,braun introduced the following bill2  
which was read twice and referred to the
 ,committee on ,health1 ,education1     
,labor1 and ,pensions  ,a ,,bill  ,to   
amend title ,,xxvii of the ,public      
,health ,service ,act to establish      
requirements with respect to            
prescription drug benefits4  #a4        
,requirements with respect to           
prescription drug benefits  7a7 ,in     
general ,subpart ,,ii of part ,a of     
title ,,xxvii of the ,public ,health    
,service ,act 7#db ,u4,s4,c4 #cjj;gg-#aa
 et seq47 is amended by adding at the   
end the following3  #bgbi;,a4           
,requirements with respect to           
prescription drug benefits ,a group     
health plan or a health insurance issuer
 offering group or individual health    
insurance coverage shall not1 and shall 
ensure that any entity that provides    
pharmacy benefits management services   

under a contract with any such health   
plan or health insurance coverage does  
not1 receive from a drug manufacturer a 
reduction in price or other remuneration
 with respect to any prescription drug  
received by an enrollee in the plan or  
coverage and covered by the plan or     
coverage1 unless--  7#a7 any such       
reduction in price is reflected at the  
point of sale to the enrollee2 and  7#b7
 any such other remuneration is a flat  
fee-based service fee that a            
manufacturer of prescription drugs pays 
to a pharmacy benefit manager for       
services rendered to the manufacturer   
that relate to arrangements by the      
pharmacy benefit manager to provide     
pharmacy benefit management services to 
a health plan or health insurance       
issuer1 if certain conditions           
established by the ,secretary are met1  
including requirements that the fees are
 transparent to the health plan or      
health insurance issuer4  4  7b7        
,effective date ,section #bgbi;,a of the

 ,public ,health ,service ,act1 as added
 by subsection 7a71 shall take effect on
 ,january #a1 #bjbj4