[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 2436 Introduced in Senate (IS)]
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118th CONGRESS
1st Session
S. 2436
To amend title XVIII of the Social Security Act to assure pharmacy
access and choice for Medicare beneficiaries.
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IN THE SENATE OF THE UNITED STATES
July 20, 2023
Mr. Manchin (for himself and Mrs. Blackburn) introduced the following
bill; which was read twice and referred to the Committee on Finance
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A BILL
To amend title XVIII of the Social Security Act to assure pharmacy
access and choice for Medicare beneficiaries.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Neighborhood Options for Patients
Buying Medicines Act'' or the ``NO PBMs Act''.
SEC. 2. ASSURING PHARMACY ACCESS AND CHOICE FOR MEDICARE BENEFICIARIES.
Section 1860D-4(b)(1) of the Social Security Act (42 U.S.C. 1395w-
104(b)(1)) is amended by striking subparagraph (A) and inserting the
following:
``(A) In general.--
``(i) Participation of any willing
pharmacy.--A PDP sponsor offering a
prescription drug plan or a pharmacy benefit
manager acting to develop a pharmacy network on
behalf of such plan shall permit the
participation of any pharmacy that meets the
standard contract terms and conditions under
such plan to participate as a network pharmacy
of such plan.
``(ii) Contract terms and conditions.--In
accordance with clause (i), contract terms and
conditions offered by such PDP sponsor or
pharmacy benefit manager shall be reasonable
and relevant. Notwithstanding any other
provision of law, not later than January 1,
2026, the Secretary shall establish standards
for reasonable and relevant contract terms and
conditions for purposes of this clause.''.
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