,i  #aah? ,,congress  #b;d ,session  ,h4
 ,r4 #ggag  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,m>* #ai1 #bjbd,mr4   
,gallego introduc$ ! foll[+ bill2 :i* 0 
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce1 & 9 addition to ! ,committee  
on ,ways & ,means1 = a p]iod to be      
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to am5d title ,,xi 
( ! ,social ,security ,act to enhance   
ph>macy b5efit manag] transp>5cy        
requirem5ts4  #a4 ,enhanc+ ,,pbm        
transp>5cy requirem5ts  7a7 ,9 g5]al    
,section #aaej;,a ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #acbj;b-#bc7 is     
am5d$-- 7#a7 by /rik+ subsection 7a7 &  
ins]t+ ! foll[+3  7a7 ,provision (      
in=mation  7#a7 ,9 g5]al ,! foll[+      
entities %all provide ! in=mation       
describ$ 9 subsection 7b7 to ! ,secret>y
 &1 9 ! case ( an entity describ$ 9     
subp>agraph 7,b7 or an affiliate ( su*  
entity describ$ 9 subp>agraph 7,c71 to !

 heal? b5efits plan ) :i* ! entity is "u
 contract1 at su* times1 & 9 su* =m &   
mann]1 z ! ,secret>y %all specify3 7,a7 
,a heal? b5efits plan4  7,b7 ,any entity
 t provides ph>macy b5efits managem5t   
s]vices on behalf ( a heal? b5efits plan
 79 ?is section ref]r$ to z a ,,pbm7 t  
manages prescription drug cov]age "u a  
contract )-- 7i7 a ,,pdp sponsor ( a    
prescription drug plan or an ,,ma       
organization (f]+ an ,,ma-,,pd plan "u  
"p ,d ( title ,,xviii2 or  7ii7 a       
qualifi$ heal? b5efits plan (f]$ ?r\gh  
an ex*ange e/abli%$ by a ,/ate "u       
section #acaa ( ! ,pati5t ,protection & 
,af=dable ,c>e ,act4  7,c7 ,any         
affiliate ( an entity describ$ 9        
subp>agraph 7,b7 t acts z a price       
negotiator or gr\p pur*as] on behalf (  
su* ,,pbm1 ,,pdp sponsor1 ,,ma          
organization1 or qualifi$ heal? b5efits 
plan4  7#b7 ,affiliate def9$ ,9 ?is     
section1 ! t]m affiliate means any      
entity t is own$ by1 controll$ by1 or   
relat$ "u a common own]%ip /ructure ) a 

,,pbm 7includ+ an entity own$ or        
controll$ by ! ,,pdp sponsor ( a        
prescription drug plan1 ,,ma            
organization (f]+ an ,,ma-,,pd plan1 or 
qualifi$ heal? b5efits plan = :i* su*   
entity is act+ z a price negotiator or  
gr\p pur*as]74  2  7#b7 9 subsection    
7b7-- 7,a7 9 p>agraph 7#b71 by ins]t+ & 
p]c5tage aft] & ! aggregate am\nt2 &    
7,b7 by add+ at ! end ! foll[+ new      
p>agraph3  7#d7 ,! am\nt 79 ! aggregate 
& disaggregat$ by type7 ( all fees !    
,,pbm or an affiliate ( ! ,,pbm receives
 f all ph>maceutical manufactur]s 9     
connection ) pati5t utilization "u !    
plan1 & ! am\nt & p]c5tage 79 !         
aggregate & disaggregat$ by type7 ( su* 
fees t are pass$ ?r\gh to ! plan sponsor
 or issu]4  2 &  7#c7 by add+ at ! end !
 foll[+ new subsection3  7e7 ,annual    
report ,! ,secret>y %all make publicly  
available on ! ,int]net website ( !     
,c5t]s = ,m$ic>e  ,m$icaid ,s]vices an  
annual report t summ>izes ! tr5ds obs]v$
 ) respect to data report$ "u subsection

 7b74  4  7b7 ,effective date ,!        
am5dm5ts made by ?is section %all apply 
to plan or contract ye>s beg9n+ on or   
aft] ,janu>y #a1 #bjbg4  7c7            
,implem5tation ,not)/&+ any o!r         
provision ( law1 ! ,secret>y may        
implem5t ! am5dm5ts made by ?is section 
by program in/ruction or o!rwise4  7d7  
,non-,application ( ! pap]work r$uction 
act ,*apt] #ce ( title #dd1 ,unit$      
,/ates ,code 7commonly ref]r$ to z !    
,pap]work ,r$uction ,act ( #aiie71 %all 
n apply to ! implem5tation ( ! am5dm5ts 
made by ?is section4