,,ii #aah? ,,congress #a/ ,session ,s4 #acgd ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,april #bg1 #bjbc ,mr4 ,m>%all 7= himself1 ,mr4 ,m>key1 ,mr4 ,grassley1 & ,mr4 ,ka9e7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to prohibit gr\p heal? plans & heal? insurance issu]s f ent]+ into contracts t w\ld prev5t or re/rict pati5t access to drug pric+ in=mation o!rwise available ?r\gh consum] decision-support tools4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,pati5t ,"r to ,%op ,act4 #b4 ,prohibition on block+ consum] decision-support tools 7a7 ,,phsa ,"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 ,prohibition on block+ consum] decision-support tools 7a7 ,9 g5]al ,a gr\p heal? plan or a heal? insurance issu] (f]+ gr\p or individual heal? insurance cov]age %all n ent] into a contract ) an entity t provides ph>macy b5efit managem5t s]vices ) respect to su* plan or cov]age if su* contract-- 7#a7 includes any t]ms1 conditions1 or co/s t w\ld prev5t or re/rict a ?ird p>ty :o is 9 contract ) ! plan or issu] to provide a consum] decision-support tool f us+ relevant in=mation reg>d+ prescription drug b5efits "u ! plan or cov]age t are adm9i/]$ by ! entity provid+ ph>macy b5efit managem5t s]vices 9 contract ) ! plan or issu]2 or 7#b7 fails to cle>ly /ate t ! entity provid+ ph>macy b5efit managem5t s]vices is requir$ to provide data requir$ "u p>agraph 7#a7 9 ma*9e readable =mat = ! op]ability1 implem5tation1 & utilization ( any su* consum] decision-support tool at no co/ 7direct or indirect7 to ! gr\p heal? plan1 heal? insurance issu]1 or ! ?ird p>ty provid+ su* consum] decision support4 7b7 ,consum] decision-,support tool ,9 ?is section1 ! t]m consum] decision-support tool means a tool design$ to in=m enrollees 9 a gr\p heal? plan or heal? insurance cov]age ab\t all co/s = prescription drugs cov]$ by ! plan or cov]age1 includ+ out-(-pocket1 copaym5t1 & co9surance responsibility1 z well z additional sav+s opportunities ?r\gh o!r *annels su* z manufactur] copaym5t assi/ance1 ca% price1 & mail ord] ph>macy b5efits4 4 7b7 ,,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 ,prohibition on block+ consum] decision-support tools 7a7 ,9 g5]al ,a gr\p heal? plan or a heal? insurance issu] (f]+ gr\p heal? insurance cov]age %all n ent] into a contract ) an entity t provides ph>macy b5efit managem5t s]vices ) respect to su* plan or cov]age if su* contract-- 7#a7 includes any t]ms1 conditions1 or co/s t w\ld prev5t or re/rict a ?ird p>ty :o is 9 contract ) ! plan or issu] to provide a consum] decision-support tool f us+ relevant in=mation reg>d+ prescription drug b5efits "u ! plan or cov]age t are adm9i/]$ by ! entity provid+ ph>macy b5efit managem5t s]vices 9 contract ) ! plan or issu]2 or 7#b7 fails to cle>ly /ate t ! entity provid+ ph>macy b5efit managem5t s]vices is requir$ to provide data requir$ "u p>agraph 7#a7 9 ma*9e readable =mat = ! op]ability1 implem5tation1 & utilization ( any su* consum] decision-support tool at no co/ 7direct or indirect7 to ! gr\p heal? plan1 heal? insurance issu]1 or ! ?ird p>ty provid+ su* consum] decision support4 7b7 ,consum] decision-,support tool ,9 ?is section1 ! t]m consum] decision-support tool means a tool design$ to in=m p>ticipants & b5efici>ies 9 a gr\p heal? plan or heal? insurance cov]age ab\t all co/s = prescription drugs cov]$ by ! plan or cov]age1 includ+ out-(-pocket1 copaym5t1 & co9surance responsibility1 z well z additional sav+s opportunities ?r\gh o!r *annels su* z manufactur] copaym5t assi/ance1 ca% price1 & mail ord] ph>macy b5efits4 4 7#b7 ,cl]ical am5dm5t ,! 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 #gbe ! foll[+3 ,sec4 #gbf4 ,prohibition on block+ consum] decision-support tools4 4 7c7 ,int]nal ,rev5ue ,code 7#a7 ,9 g5]al ,sub*apt] ,b ( *apt] #ajj ( ! ,int]nal ,rev5ue ,code ( #aihf is am5d$ by add+ at ! end ! foll[+ new section3 #ihbf4 ,prohibition on block+ consum] decision-support tools 7a7 ,9 g5]al ,a gr\p heal? plan (f]+ gr\p heal? insurance cov]age %all n ent] into a contract ) an entity t provides ph>macy b5efit managem5t s]vices ) respect to su* plan if su* contract-- 7#a7 includes any t]ms1 conditions1 or co/s t w\ld prev5t or re/rict a ?ird p>ty :o is 9 contract ) ! plan to provide a consum] decision-support tool f us+ relevant in=mation reg>d+ prescription drug b5efits "u ! plan t are adm9i/]$ by ! entity provid+ ph>macy b5efit managem5t s]vices 9 contract ) ! plan2 or 7#b7 fails to cle>ly /ate t ! entity provid+ ph>macy b5efit managem5t s]vices is requir$ to provide data requir$ "u p>agraph 7#a7 9 ma*9e readable =mat = ! op]ability1 implem5tation1 & utilization ( any su* consum] decision-support tool at no co/ 7direct or indirect7 to ! gr\p heal? plan or ! ?ird p>ty provid+ su* consum] decision support4 7b7 ,consum] decision-,support tool ,9 ?is section1 ! t]m consum] decision-support tool means a tool design$ to in=m p>ticipants & b5efici>ies 9 a gr\p heal? plan ab\t all co/s = prescription drugs cov]$ by ! plan1 includ+ out-(-pocket1 copaym5t1 & co9surance responsibility1 z well z additional sav+s opportunities ?r\gh o!r *annels su* z manufactur] copaym5t assi/ance1 ca% price1 & mail ord] ph>macy b5efits4 4 7#b7 ,cl]ical am5dm5t ,! table ( sections = sub*apt] ,b ( *apt] #ajj ( su* ,code is am5d$ by add+ at ! end ! foll[+ new item3 ,sec4 #ihbf4 ,prohibition on block+ consum] decision-support tools4 4 7d7 ,application ,! am5dm5ts made by subsections 7a71 7b71 & 7c7 %all apply ) respect to plan ye>s beg9n+ on or aft] ! date t is #b ye>s aft] ! date ( enactm5t ( ?is ,act4 7e7 ,regulations ,! ,secret>y ( ,heal? & ,human ,s]vices1 ! ,secret>y ( ,labor1 & ! ,secret>y ( ! ,treasury %all jo9tly promulgate regulations to c>ry out ! am5dm5ts made by subsections 7a71 7b71 & 7c71 & %all issue draft regulations n lat] ?an #a ye> aft] ! date ( enactm5t ( ?is ,act4