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HR 2816118th CongressFailed / ExpiredHouse

Pharmacy Benefit Manager Sunshine and Accountability Act

Policy Area: Health
View on Congress.gov
Origin Chamber
House
Last Updated
Dec 21, 2024
Latest Action Date
Dec 17, 2024

Latest Action

Referred to the Subcommittee on Health.

Official Summary

Official summary has not been imported yet.

GovScope Watchdog™

AI Government Intelligence™
Executive Summary

The Pharmacy Benefit Manager Sunshine and Accountability Act (H.R. 2816) is a legislative proposal introduced in the 118th Congress aimed at increasing transparency and accountability in the operations of pharmacy benefit managers (PBMs). PBMs are intermediaries that negotiate drug prices and manage prescription drug benefits for health plans. The bill seeks to address concerns about PBM practices by imposing disclosure requirements and oversight mechanisms. However, the official summary and full bill text are not available, limiting detailed analysis of specific provisions. The bill was referred to the House Subcommittee on Health but ultimately failed or expired without further action.

Bottom Line

H.R. 2816 intended to enhance transparency and accountability of pharmacy benefit managers but did not advance beyond subcommittee referral and expired in the 118th Congress.

Policy Risk Level
🟡 Medium
Neutral Risk Assessment
Key Points
  • The bill focuses on pharmacy benefit managers, entities that influence drug pricing and access.
  • It aims to increase transparency and accountability in PBM operations through regulatory measures.
  • The bill was referred to the House Subcommittee on Health on December 17, 2024, but did not progress further.
Who Benefits?

['Patients and consumers seeking clearer information on drug pricing and PBM practices', 'Health care providers and insurers affected by PBM policies', 'Regulatory bodies overseeing pharmaceutical and health care markets']

Potential Concerns

['Lack of available full text limits understanding of specific regulatory or enforcement mechanisms proposed', 'Potential administrative and compliance costs for PBMs and health plans', 'Unclear scope of oversight authority and enforcement provisions due to missing bill text']

Political Context

The bill was introduced in the House during the 118th Congress and referred to the Subcommittee on Health. It addresses ongoing policy discussions about the role of PBMs in drug pricing and health care costs. The bill did not advance beyond subcommittee referral and expired, indicating limited legislative momentum during this session.

Hidden Impact Review

Hidden impact flags detected: 2

GovScope reviewed 2 policy-risk categories. Hover for a quick definition. Click detected flags for bill-specific details.

2 Detected
Detected Flags
Indirect Effects

['Increased transparency requirements could lead to changes in PBM business practices affecting drug pricing negotiations.', 'Potential administrative burden on PBMs and health plans to comply with new disclosure rules.', 'Greater regulatory oversight may influence market dynamics in the pharmaceutical supply chain.']

GovScope Watchdog Notes

The lack of a bill summary and full text limits transparency and public understanding of the Pharmacy Benefit Manager Sunshine and Accountability Act. This gap hinders effective oversight and informed stakeholder engagement. Future legislative proposals would benefit from comprehensive public documentation to facilitate analysis and accountability.

Passage Likelihood: LowConfidence: 70%Model: gpt-4.1-mini

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