,,ii #aah? ,,congress #b;d ,session ,s4 #eejc ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,decemb] #ab1 #bjbd,ms4 ,w>r5 7= h]self & ,mr4 ,hawley7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ! ,judici>y ,a ,,bill ,to prohibit ph>macy b5efit manag]s & ph>macies f be+ "u common own]%ip1 & = o!r purposes4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,pati5ts ,be=e ,monopolies ,act or ! ,,pbm ,act4 #b4 ,prohibitions relat+ to anticompetitive ph>macy own]%ip & contracts 7a7 ,prohibition on ph>macy own]%ip by entities provid+ insurance or ph>macy b5efit managem5t s]vices 7#a7 ,9 g5]al ,x %all be unlawful = any p]son to bo?-- 7,a7 directly or indirectly own1 op]ate1 control1 or direct ! op]ation ( ! :ole or any "p ( a ph>macy2 & 7,b7 directly or indirectly own1 op]ate1 or control ! :ole or any "p (-- 7i7 an insurance company2 or 7ii7 a ph>macy b5efit manag]4 7#b7 ,dive/m5t ,n lat] ?an #c ye>s aft] ! date ( enactm5t ( ?is ,act1 any p]son 9 violation ( p>agraph 7#a7 %all dive/ ! ph>macy ( su* p]son4 7b7 ,civil actions 7#a7 ,9 g5]al ,:5 ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 ! ,assi/ant ,attorney ,g5]al 9 *>ge ( ! ,antitru/ ,division ( ! ,dep>tm5t ( ,ju/ice1 ! ,f$]al ,trade ,commission1 or an attorney g5]al ( a ,/ate has reason to believe t a p]son is 9 violation ( subsection 7a71 su* ,inspector ,g5]al1 ,assi/ant ,attorney ,g5]al1 ,f$]al ,trade ,commission or attorney g5]al ( a ,/ate may br+ a civil action 9 an applicable di/rict c\rt ( ! ,unit$ ,/ates = ! relief describ$ 9 p>agraph 7#b74 7#b7 ,injunctive & equitable relief ,9 any action describ$ 9 p>agraph 7#a71 ! applicable c\rt1 on a f9d+ t a p]son is 9 violation ( subsection 7a71 %all issue an ord] requir+ su* p]son-- 7,a7 to cease & desi/ f su* violation1 &1 if applicable1 dive/ ! ph>macy s]vices ( su* p]son2 & 7,b7 to disgorge any rev5ue receiv$ f ! ph>macy f ! sale ( prescription drugs dur+ ! p]iod ( su* violation4 7#c7 ,o!r relief ,9 addition to any relief obta9$ "u p>agraph 7#b71 ! c\rt may grant any o!r equitable relief necess>y to r$ress & prev5t recurr5ce ( ! violation4 7#d7 ,deposit ,any rev5ue receiv$ f ! sale ( prescription drugs disgorg$ pursuant to an action "u ?is subsection %all be deposit$ 9 a fund creat$ by ! ,f$]al ,trade ,commission & di/ribut$ by ! ,f$]al ,trade ,commission to be put to use 9 ! int]e/ ( s]v+ ! heal? c>e ne$s ( ! h>m$ community1 includ+ consum]s ov]*>g$ at v]tically integrat$ ph>macies4 7c7 ,,ftc review 7#a7 ,report+ requir$ ,any dive/m5t ( a ph>macy or ph>macy b5efit manag] requir$ "u subsection 7a7 %all be report$ to ! ,f$]al ,trade ,commission & ! ,assi/ant ,attorney ,g5]al 9 *>ge ( ! ,antitru/ ,division ( ! ,dep>tm5t ( ,ju/ice "u section #g;,a ( ! ,clayton ,act 7#ae ,u4,s4,c4 #ah;a7 )\t respect to ! ?re%olds "u subsection 7a77#b7 ( t section4 7#b7 ,toll+ ( dive/m5t p]iod dur+ review ,! dive/m5t p]iod "u subsection 7a7 %all be toll$ dur+ ! p5d5cy ( any wait+ p]iod requir$ "u section #g;,a ( ! ,clayton ,act 7#ae ,u4,s4,c4 #ah;a74 7#c7 ,review ( effect ( dive/iture ,) respect to ea* dive/iture und]tak5 pursuant to subsection 7a71 9 addition to any applicable review "u section #g;,a ( ! ,clayton ,act 7#ae ,u4,s4,c4 #ah;a71 ! ,f$]al ,trade ,commission & ! ,assi/ant ,attorney ,g5]al 9 *>ge ( ! ,antitru/ ,division ( ! ,dep>tm5t ( ,ju/ice %all review ! effect on competition1 f9ancial viability1 & ! public int]e/-- 7,a7 ( ! dive/iture2 & 7,b7 ( ! subsequ5t acquisition ( ! dive/$ ph>macy by ! acquir+ p]son4 7d7 ,rulemak+ au?ority ,! ,f$]al ,trade ,commission %all promulgate rules to c>ry out ?is section4 ,su* rules %all n dim9i% any obligation "u ?is section4 7e7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ to limit ! au?ority ( ! ,f$]al ,trade ,commission1 ! ,inspector ,g5]al ( ! ,dep>tm5t ( ,ju/ice1 ! ,dep>tm5t ( ,heal? & ,human ,s]vices1 or ! attorney g5]al ( a ,/ate "u any o!r provision ( law4 7f7 ,def9itions ,9 ?is section3 7#a7 ,heal? plan ,! t]m heal? plan means any public or private heal? insurance plan4 7#b7 ,p]son ,! t]m p]son has ! mean+ giv5 ! t]m 9 section #h ( ! ,%]man ,act 7#ae ,u4,s4,c4 #g74 7#c7 ,ph>macy 7,a7 ,9 g5]al ,! t]m ph>macy means any p]son1 bus9ess1 or entity lic5s$1 regi/]$1 or o!rwise p]mitt$ by a ,/ate or a t]ritory ( ! ,unit$ ,/ates to disp5se1 deliv]1 or di/ribute a controll$ sub/ance1 prescription drug1 or o!r m$ication-- 7i7 to ! g5]al public2 or 7ii7 to a b$ pati5t = imm$iate adm9i/ration4 7,b7 ,inclusions ,! t]m ph>macy includes-- 7i7 a mail-ord] ph>macy2 7ii7 a specialty ph>macy2 7iii7 a retail ph>macy2 7iv7 a nurs+ home ph>macy2 7v7 a long-t]m c>e ph>macy2 7vi7 a hospital ph>macy2 7vii7 an infusion or o!r outpati5t treatm5t ph>macy2 7viii7 any organization ! ,national ,provid] ,id5tifi] 7,,npi7 regi/ration ( :i* has #a or m taxonomy codes "u ! ph>macy section ( ! ,national ,uni=m ,claim ,committee 7or a subsequ5t organization72 & 7ix7 any o!r type ( ph>macy4 7#d7 ,ph>macy b5efit manag] ,! t]m ph>macy b5efit manag] means any p]son1 bus9ess1 or o!r entity1 su* z a ?ird-p>ty adm9i/rator1 reg>dless ( :e!r su* p]son1 bus9ess1 or entity id5tifies itself z a ph>macy b5efit manag]1 t1 ei!r directly or indirectly ?r\gh an int]m$i>y 7includ+ an affiliate1 subsidi>y1 or ag5t7 or an arrangem5t ) a ?ird p>ty-- 7,a7 acts z a negotiator ( prices1 rebates1 fees1 or disc\nts = prescription drugs on behalf ( a heal? plan or heal? plan sponsor2 7,b7 contracts ) ph>macies to create ph>macy networks & designs & manages su* networks2 or 7,c7 manages or adm9i/]s ! prescription drug b5efits provid$ by a heal? plan1 includ+ ! process+ & paym5t ( claims = prescription drugs1 arrang+ alt]native access to or fund+ = prescription drugs1 ! p]=mance ( utilization managem5t s]vices1 includ+ drug utilization review1 ! process+ ( drug prior au?orization reque/s1 ! adjudication ( appeals or grievances relat$ to ! prescription drug b5efit1 contract+ ) network ph>macies1 controll+ ! co/ ( cov]$ prescription drugs1 or ! provision ( relat$ s]vices4