,,ii  #aai? ,,congress  #a/ ,session    
,s4 #cedi  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,decemb] #ag1 #bjbe,mr4
 ,m>%all 7= himself1 ,mr4 ,ka9e1 ,mr4   
,grassley1 & ,ms4 ,hassan7 introduc$ !  
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,heal?1 ,education1  
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,employee ,retirem5t ,income ,security
 ,act ( #aigd to ensure t ph>macy b5efit
 manag]s are consid]$ fiduci>ies1 & =   
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,,pbm ,fiduci>y        
,acc\ntability1 ,integrity1 & ,re=m     
7,,fair7 ,act or ! ,,pbm ,,fair ,act4   
#b4 ,e/abli%+ fiduci>y duties ( ph>macy 
b5efit manag]s  7a7 ,deem+ ph>macy      
b5efit manag]s z ,,erisa fiduci>ies     
,section #c7ba7 ( ! ,employee ,retirem5t
 ,income ,security ,act ( #aigd 7#bi    
,u4,s4,c4 #ajjb7ba77 is am5d$ by add+ at
 ! end ! foll[+3  7,c7 ,a p]son or      
entity %all be deem$ to be a fiduci>y ) 
respect to a gr\p heal? plan = !        
purposes ( ?is ,act if ! p]son or       

entity-- 7i7 ma9ta9s = ! gr\p heal?     
plan1 ! plan sponsor or plan adm9i/rator
 ( su* plan1 or a heal? insurance issu] 
(f]+ gr\p heal? insurance cov]age a     
prescription drug provid] network or    
prescription drug =mul>y ?r\gh ! pur*ase
 ( prescription drugs f a drug          
manufactur]1 di/ributor1 :olesal]1      
rebate aggregator1 gr\p pur*as+         
organization1 or any associat$ ?ird     
p>ty2 or  7ii7 engages 91 on behalf (1  
or 9 connection )1 ! gr\p heal? plan1 ! 
plan sponsor or plan adm9i/rator ( su*  
plan1 or a heal? insurance issu] (f]+   
gr\p heal? insurance cov]age-- 7,i7 !   
negotiation or aggregation ( rebates1   
fees1 disc\nts1 or o!r price concessions
 = prescription drugs2  7,,ii7 !        
process+ & paym5t ( claims =            
prescription drugs2 or  7,,iii7 !       
p]=mance ( utilization review &         
managem5t = prescription drugs on behalf
 ( a gr\p heal? plan4  4  7b7 ,requir$  
comp5sation disclosures f ph>macy b5efit
 manag]s & ?ird p>ty adm9i/rators       

,section #djh7;b77#b77;,b77ii77,i77bb7 (
 ! ,employee ,retirem5t ,income         
,security ,act ( #aigd 7#bi ,u4,s4,c4   
#aajh7;b77#b77;,b77ii77,i77bb77 is am5d$
 by add+ at ! end ! foll[+3 7,,cc7      
,ph>macy b5efit managem5t s]vices       
provid$ to a cov]$ plan1 = :i* ! cov]$  
s]vice provid]1 an affiliate1 or a      
subcontractor reasonably expects to     
receive indirect comp5sation or direct  
comp5sation describ$ 9 item 7dd71       
includ+ ! e/abli%m5t & ma9t5ance ( a    
prescription drug provid] network or    
prescription drug =mul>y or ?r\gh !     
pur*ase ( prescription drugs f a drug   
manufactur]1 di/ributor1 :olesal]1      
rebate aggregator1 gr\p pur*as+         
organization1 or any associat$ ?ird p>ty
 = ! cov]$ plan4 7,,dd7 ,?ird p>ty      
adm9i/rative s]vices provid$ to a cov]$ 
plan1 = :i* ! cov]$ s]vice provid]1 an  
affiliate1 or a subcontractor reasonably
 expects to receive indirect comp5sation
 or direct comp5sation describ$ 9 item  
7dd71 includ+ e/abli%+ & ma9ta9+ a      

network ( m$ical provid]s1 adjudicat+ or
 process+ heal? claims1 ma9ta9+ records1
 & negotiat+ reimbursem5t rates = !     
cov]$ plan4 4  7c7 ,cl>ification (      
responsible plan fiduci>y ,section      
#djh7;b77#b77;,b77ii77,i77ee7 ( !       
,employee ,retirem5t ,income ,security  
,act ( #aigd 7#bi ,u4,s4,c4             
#aajh7;b77#b77;,b77ii77,i77ee77 is am5d$
 by ins]t+ at ! end ! foll[+3 ,a cov]$  
s]vice provid] may n be ! responsible   
plan fiduci>y = purposes ( ! disclosures
 requir$ "u clause 7iii74 ,not)/&+ !    
prec$+ s5t5ce1 9 ! case ( a ph>macy     
b5efit manag] :o sponsors a cov]$ plan =
 ! employees ( ! ph>macy b5efit manag]1 
! ph>macy b5efit manag] may be consid]$ 
! responsible plan fiduci>y = su* plan44
  7d7 ,prohibition on indemnification = 
brea*es by a section #c7ba77;,c7        
fiduci>y ,section #daj7;a7 ( ! ,employee
 ,retirem5t ,income ,security ,act (    
#aigd 7#bi ,u4,s4,c4 #aaaj7;a77 is      
am5d$-- 7#a7 by /rik+ ,except & ins]t+  
7#a7 ,except2 &  7#b7 by add+ at ! end !

 foll[+3  7#b7 ,except z provid$ 9      
subsection 7b77#b71 no p]son or entity  
deem$ to be a fiduci>y "u section       
#c7ba77;,c7 may be indemnifi$1 directly 
or indirectly1 or o!rwise reliev$ f     
liability = any responsibility1         
obligation1 or duty ( su* p]son or      
entity "u ?is "p4  7#c7 ,any provision (
 contract 9 violation ( p>agraph 7#b7   
%all be void z aga9/ public policy4  4  
7e7 ,te*nical am5dm5t ,section          
#djh7;b77#b77;,b77i7 ( ! ,employee      
,retirem5t ,income ,security ,act (     
#aigd 7#bi ,u4,s4,c4                    
#aajh7;b77#b77;,b77i77 is am5d$ by /rik+
 ?is clause & ins]t+ ?is subp>agraph4   
7f7 ,effective date ,! am5dm5ts made by 
?is section %all apply ) respect to plan
 ye>s beg9n+ ) ! fir/ plan ye> t beg9s  
at lea/ #ab mon?s aft] ! date ( enactm5t
 ( ?is ,act4