,,ii #aah? ,,congress #a/ ,session ,s4 #abag ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,april #ai1 #bjbc,mr4 ,hawley introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to prohibit ! di/ribution & receipt ( rebates = prescription drugs4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,end+ ! ,prescription ,drug ,kickback ,act ( #bjbc4 #b4 ,requirem5ts = prescription drug b5efits 7a7 ,removal ( safe h>bor protection = rebates involv+ prescription drugs 7#a7 ,removal ( safe h>bor protection = rebates involv+ prescription drugs ,section #aabh;,b7b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#g;b7b77 is am5d$-- 7,a7 9 p>agraph 7#c77;,a71 by /rik+ a disc\nt & ins]t+ subject to p>agraph 7#e71 a disc\nt2 & 7,b7 by add+ at ! end ! foll[+3 7#e7 ,removal ( safe h>bor protection = rebates involv+ prescription drugs 7,a7 ,9 g5]al ,! safe h>bor describ$ 9 p>agraph 7#c77;,a7 %all n apply to a rebate or o!r remun]ation1 includ+ a rebate or o!r remun]ation int5d$ to influ5ce =mul>y ti] placem5t or its equival5t1 f a manufactur] ( prescription drugs or an entity t provides ph>macy b5efits managem5t s]vices4 7,b7 ,def9itions ,9 ?is p>agraph3 7i7 ,entity t provides ph>macy b5efits managem5t s]vices ,! t]m entity t provides ph>macy b5efits managem5t s]vices means-- 7,i7 any p]son1 bus9ess1 or o!r entity t provides1 directly or ?r\gh an int]m$i>y1 ! s]vice (-- 7aa7 negotiat+ t]ms & conditions ) respect to a prescription drug on behalf ( a heal? plan "u a ,f$]al heal? c>e program2 or 7bb7 manag+ ! prescription drug b5efits provid$ by ! plan1 :i* may include =mul>y managem5t1 ! process+ & paym5t ( claims = prescription drugs1 ! p]=mance ( drug utilization review1 ! process+ ( drug prior au?orization reque/s1 ! adjudication ( appeals or grievances relat$ to ! prescription drug b5efit1 contract+ ) network ph>macies1 or ! provision ( relat$ s]vices2 or 7,,ii7 any entity t is own$1 affiliat$1 or relat$ "u a common own]%ip /ructure ) a p]son1 bus9ess1 or entity describ$ 9 subclause 7,i74 7ii7 ,rebate ,! t]m rebate means any disc\nt ! t]ms ( :i* are fix$ & disclos$ 9 writ+ to ! buy] at ! "t ( ! pur*ase to :i* ! disc\nt applies1 b :i* is n giv5 at ! "t ( pur*ase4 4 7#b7 ,effective date ,! am5dm5ts made by ?is subsection %all take effect on ,janu>y #a1 #bjbe4 7b7 ,requirem5ts = private insurance plans 7#a7 ,9 g5]al ,"p ,d ( title ,,xxvii ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#aaa et seq47 is am5d$ by add+ at ! end ! foll[+3 #bgii;,a-#aa4 ,requirem5ts ) respect to prescription drug b5efits 7a7 ,9 g5]al ,a gr\p heal? plan or a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age %all n1 & %all ensure t any entity t provides ph>macy b5efits managem5t s]vices on its behalf does n1 receive f a drug manufactur] a rebate or o!r remun]ation1 includ+ a rebate or o!r remun]ation int5d$ to influ5ce =mul>y ti] placem5t or its equival5t1 ) respect to any prescription drug receiv$ by an enrollee 9 ! plan or cov]age & cov]$ by ! plan or cov]age4 7b7 ,def9itions ,= purposes ( ?is section-- 7#a7 ! t]m entity t provides ph>macy b5efits managem5t s]vices means-- 7,a7 any p]son1 bus9ess1 or o!r entity t provides1 directly or ?r\gh an int]m$i>y1 ! s]vice (-- 7i7 negotiat+ t]ms & conditions ) respect to a prescription drug on behalf ( a gr\p heal? plan or gr\p or individual heal? insurance cov]age2 or 7ii7 manag+ ! prescription drug b5efits provid$ by ! plan or cov]age1 :i* may include =mul>y managem5t1 ! process+ & paym5t ( claims = prescription drugs1 ! p]=mance ( drug utilization review1 ! process+ ( drug prior au?orization reque/s1 ! adjudication ( appeals or grievances relat$ to ! prescription drug b5efit1 contract+ ) network ph>macies1 or ! provision ( relat$ s]vices2 or 7,b7 any entity t is own$1 affiliat$1 or relat$ "u a common own]%ip /ructure ) a p]son1 bus9ess1 or entity describ$ 9 p>agraph 7#a72 & 7#b7 ! t]m rebate means any disc\nt ! t]ms ( :i* are fix$ & disclos$ 9 writ+ to ! buy] at ! "t ( ! pur*ase to :i* ! disc\nt applies1 b :i* is n giv5 at ! "t ( pur*ase4 4 7#b7 ,,erisa 7,a7 ,9 g5]al ,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 #gbf4 ,requirem5ts ) respect to prescription drug b5efits 7a7 ,9 g5]al ,a gr\p heal? plan or a heal? insurance issu] (f]+ gr\p heal? insurance cov]age %all n1 & %all ensure t any entity t provides ph>macy b5efits managem5t s]vices on its behalf does n1 receive f a drug manufactur] a rebate or o!r remun]ation1 includ+ a rebate or o!r remun]ation int5d$ to influ5ce =mul>y ti] placem5t or its equival5t1 ) respect to any prescription drug receiv$ by an enrollee 9 ! plan or cov]age & cov]$ by ! plan or cov]age4 7b7 ,def9itions ,= purposes ( ?is section-- 7#a7 ! t]m entity t provides ph>macy b5efits managem5t s]vices means-- 7,a7 any p]son1 bus9ess1 or o!r entity t provides1 directly or ?r\gh an int]m$i>y1 ! s]vice (-- 7i7 negotiat+ t]ms & conditions ) respect to a prescription drug on behalf ( a gr\p heal? plan or gr\p heal? insurance cov]age2 or 7ii7 manag+ ! prescription drug b5efits provid$ by ! plan or cov]age1 :i* may include =mul>y managem5t1 ! process+ & paym5t ( claims = prescription drugs1 ! p]=mance ( drug utilization review1 ! process+ ( drug prior au?orization reque/s1 ! adjudication ( appeals or grievances relat$ to ! prescription drug b5efit1 contract+ ) network ph>macies1 or ! provision ( relat$ s]vices2 or 7,b7 any entity t is own$1 affiliat$1 or relat$ "u a common own]%ip /ructure ) a p]son1 bus9ess1 or entity describ$ 9 p>agraph 7#a72 & 7#b7 ! t]m rebate means any disc\nt ! t]ms ( :i* are fix$ & disclos$ 9 writ+ to ! buy] at ! "t ( ! pur*ase to :i* ! disc\nt applies1 b :i* is n giv5 at ! "t ( pur*ase4 4 7,b7 ,cl]ical am5dm5t ,! table ( cont5ts ( ! ,employee ,retirem5t ,income ,security ,act ( #aigd is am5d$ by ins]t+ aft] ! item relat+ to section #gbe ! foll[+3 ,sec4 #gbf4 ,requirem5ts ) respect to prescription drug b5efits4 4 7#c7 ,,irc 7,a7 ,9 g5]al ,sub*apt] ,b ( *apt] #ajj ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+3 #ihbf4 ,requirem5ts ) respect to prescription drug b5efits 7a7 ,9 g5]al ,a gr\p heal? plan %all n1 & %all ensure t any entity t provides ph>macy b5efits managem5t s]vices on its behalf does n1 receive f a drug manufactur] a rebate or o!r remun]ation ) respect to any prescription drug receiv$ by an enrollee 9 ! plan & cov]$ by ! plan4 7b7 ,def9itions ,= purposes ( ?is section-- 7#a7 ! t]m entity t provides ph>macy b5efits managem5t s]vices means-- 7,a7 any p]son1 bus9ess1 or o!r entity t provides1 directly or ?r\gh an int]m$i>y1 ! s]vice (-- 7i7 negotiat+ t]ms & conditions ) respect to a prescription drug on behalf ( a gr\p heal? plan2 or 7ii7 manag+ ! prescription drug b5efits provid$ by ! plan1 :i* may include =mul>y managem5t1 ! process+ & paym5t ( claims = prescription drugs1 ! p]=mance ( drug utilization review1 ! process+ ( drug prior au?orization reque/s1 ! adjudication ( appeals or grievances relat$ to ! prescription drug b5efit1 contract+ ) network ph>macies1 or ! provision ( relat$ s]vices2 or 7,b7 any entity t is own$1 affiliat$1 or relat$ "u a common own]%ip /ructure ) a p]son1 bus9ess1 or entity describ$ 9 p>agraph 7#a72 & 7#b7 ! t]m rebate means any disc\nt ! t]ms ( :i* are fix$ & disclos$ 9 writ+ to ! buy] at ! "t ( ! pur*ase to :i* ! disc\nt applies1 b :i* is n giv5 at ! "t ( pur*ase4 4 7,b7 ,cl]ical am5dm5t ,! table ( sections = sub*apt] ,b ( *apt] #ajj ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+3 ,sec4 #ihbf4 ,requirem5ts ) respect to prescription drug b5efits4 4 7#d7 ,effective date ,! am5dm5ts made by p>agraphs 7#a71 7#b71 & 7#c7 %all take effect on ,janu>y #a1 #bjbe4