,,ii  #aaith ,,congress  #b;d ,session  
,s4 #cgbi  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,january #bi1  
#bjbf,mr4 ,warner 7for himself1 ,mr4    
,tillis1 ,ms4 ,cortez ,masto1 and ,mr4  
,marshall7 introduced the following     
bill2 which was read twice and referred 
to the ,committee on ,finance  ,a ,,bill
  ,to require the ,medicare ,payment    
,advisory ,commission 7,med,p,a,c7      
submit to ,congress two reports on      
agreements with pharmacy benefit        
managers with respect to prescription   
drug plans and ,,ma-,,pd plans4  #a4    
,short title ,this ,act may be cited as 
the ,,pbm ,reporting ,transparency ,act4
  #b4 ,med,p,a,c reports on agreements  
with pharmacy benefit managers with     
respect to prescription drug plans and  
,,ma-,,pd plans ,the ,medicare ,payment 
,advisory ,commission shall submit to   
,congress the following reports3 7#a7   
,initial report ,not later than the     
first ,march #ae occurring after the    
date that is #b years after the date on 

which the ,secretary makes the data     
available to the ,commission1 a report  
regarding agreements with pharmacy      
benefit managers with respect to        
prescription drug plans and ,,ma-,,pd   
plans4 ,such report shall include1 to   
the extent practicable-- 7,a7 a         
description of trends and patterns1     
including relevant averages1 totals1 and
 other figures for the types of         
information submitted2  7,b7 an analysis
 of any differences in agreements and   
their effects on plan enrollee          
out-of-pocket spending and average      
pharmacy reimbursement1 and other       
impacts2 and  7,c7 any recommendations  
the ,commission determines appropriate4 
7#b7 ,final report ,not later than #b   
years after the date on which the       
,commission submits the initial report  
under paragraph 7#a71 a report          
describing any changes with respect to  
the information described in paragraph  
7#a7 over time1 together with any       
recommendations the ,commission         

determines appropriate4