H.R. 4489 (111th): FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act

Jan 21, 2010 (111th Congress, 2009–2010)
Died (Referred to Committee)
Stephen Lynch
Representative for Massachusetts's 9th congressional district
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Last Updated
Jan 21, 2010
18 pages
Related Bills
H.R. 979 (112th) was a re-introduction of this bill in a later Congress.

Referred to Committee
Last Action: Mar 09, 2011


This bill was introduced on January 21, 2010, in a previous session of Congress, but was not enacted.

Introduced Jan 21, 2010
Referred to Committee Jan 21, 2010
Full Title

To amend chapter 89 of title 5, United States Code, to ensure program integrity, transparency, and cost savings in the pricing and contracting of prescription drug benefits under the Federal Employees Health Benefits Program.


No summaries available.

16 cosponsors (16D) (show)

House Oversight and Government Reform

Federal Workforce, U.S. Postal Service, and the Census

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Primary Source

THOMAS.gov (The Library of Congress)

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H.R. stands for House of Representatives bill.

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The bill’s title was written by its sponsor.

GovTrack’s Bill Summary

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Library of Congress Summary

The summary below was written by the Congressional Research Service, which is a nonpartisan division of the Library of Congress.

FEHBP Prescription Drug Integrity, Transparency, and Cost Savings Act - Prohibits the Office of Personnel Management (OPM) from entering a contract or approving a health benefits plan with a carrier that is a party to a pharmacy benefit manager (PBM) carrier arrangement to provide or administer prescription drug coverage under the Federal Employees Health Benefits Program (FEHBP) unless the PBM and the carrier comply with requirements of this Act. Directs OPM to terminate a contract or discontinue a plan that fails to comply.
Prohibits: (1) a pharmaceutical drug manufacturer or retail pharmacy from having a controlling interest in the PBM; or (2) the PBM from having a controlling interest in a retail pharmacy. Requires each carrier to certify PBM compliance annually. Prohibits OPM from permitting a carrier that has a controlling interest in a PBM to earn a profit from such interest with respect to an FEHBP contract.
Sets forth requirements of PBM arrangements under the FEHBP, including regarding:
(1) drug substitution restrictions;
(2) PBM reimbursement of carriers;
(3) sale by a PBM of utilization and claims data;
(4) drug pricing and the basis for reimbursement;
(5) provisions of an explanation of benefits to enrollees;
(6) nondiscriminatory contracts regarding required participation;
(7) OPM access to PBM contract information;
(8) civil monetary penalties for making false statements or claims to the government; and
(9) reports from drug manufacturers on average manufacturer prices for drugs each quarter.

House Republican Conference Summary

The summary below was written by the House Republican Conference, which is the caucus of Republicans in the House of Representatives.

No summary available.

House Democratic Caucus Summary

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