,,ib ,union ,cal5d> ,no4 #fcd #aai?     
,,congress  #b;d ,session  ,h4 ,r4 #ghie
 ,report ,no4 #aai-gbi ,,9 ,,! ,,h\se   
,,( ,,repres5tatives  ,m>* #ab1         
#bjbf,mr4 ,all5 introduc$ ! foll[+ bill2
 :i* 0 ref]r$ to ! ,committee on        
,education & ,work=ce  ,july #b1        
#bjbf,report$ ) an am5dm5t1 committ$ to 
! ,committee ( ! ,:ole ,h\se on ! ,/ate 
( ! ,union1 & ord]$ to be printed,strike
 out all aft] ! enact+ clause & ins]t ! 
"p pr9t$ 9 italic,for text ( introduc$  
bill1 see copy ( bill z introduc$ on    
,m>* #ab1 #bjbf  ,a ,,bill  ,to am5d    
section #djh ( ! ,employee ,retirem5t   
,income ,security ,act ( #aigd to       
prohibit kickbacks to ph>macy b5efit    
manag]s4  #a4 ,%ort title ,?is ,act may 
be cit$ z ! ,,pbm ,kickback ,prohibition
 ,act4  #b4 ,prohibition on ph>macy     
b5efit manag] kickbacks  7a7 ,9 g5]al   
,section #djh7;b77#b77;,b7 ( ! ,employee
 ,retirem5t ,income ,security ,act 7#bi 
,u4,s4,c4 #aajh7;b77#b77;,b77 is am5d$  
by add+ at ! end ! foll[+3  7xi7 7,i7 ,9

 ! case ( a contract or arrangem5t      
betwe5 a cov]$ plan & a cov]$ s]vice    
provid] = ph>macy b5efit managem5t      
s]vices1 no am\nt ( comp5sation 7:e!r   
direct comp5sation or indirect          
comp5sation7 may be paid by su* s]vice  
provid] to any individual or entity =-- 
7aa7 ! ref]ral1 recomm5dation1 placem5t1
 ret5tion1 or r5ewal (1 or access to1 ! 
bus9ess ( ! cov]$ plan or ! heal?       
insurance issu] (f]+ heal? insurance    
cov]age = ! cov]$ plan2  7bb7 inclusion 
91 p>ticipation 91 or ! design (--      
7,,aa7 a reque/ = proposal2 7,,bb7 a    
m>ket *eck2 7,,cc7 an evaluation2 7,,dd7
 ! volume1 value1 or use ( cov]$ plan   
bus9ess2 or 7,,ee7 any o!r contract+    
process4  7,,ii7 ,= ! purposes ( ?is    
clause1 ! *>act]ization ( comp5sation   
%all be bas$ on ! economic sub/ance &   
practical op]ation ( ! contract or      
arrangem5t1 )\t reg>d to ! *>act]ization
 or label+ ( ! comp5sation by ! cov]$   
s]vice provid]4  7,,iii7 ,any           
comp5sation paid by a cov]$ s]vice      

provid] to a brok]age firm1 brok]1      
consultant1 advisor1 or relat$ entity   
%all be presum$ to be relat$ to an      
activity describ$ 9 item 7aa7 or 7bb7 ( 
subclause 7,i7 unless ! p>ties          
demon/rate ?r\gh contemporane\s writt5  
docum5tation t su* comp5sation-- 7aa7   
reflects fair m>ket value = bona fide   
s]vices actually r5d]$2 &  7bb7 is n    
relat$1 directly or indirectly1 to any  
activity describ$ 9 su* items4  4  7b7  
,effective date ,! am5dm5t made by ?is  
section %all apply = plan ye>s beg9n+   
aft] ! date ( enactm5t ( ?is ,act4      
,july #b1 #bjbf,report$ ) an am5dm5t1   
committ$ to ! ,committee ( ! ,:ole ,h\se
 on ! ,/ate ( ! ,union1 & ord]$ to be   
pr9t$