Prescription Drug Transparency and Affordability Act

Summary

Prescription Drug Transparency and Affordability Act This bill requires pharmacy benefit managers (PBMs) to report, at least once every six months, prescription drug pricing, payment, and utilization data to the health insurance plans for which the PBM provides services. Specifically, a PBM contracted to provide services to an employer or sponsor offering a large group health insurance plan (i.e., a plan with at least 100 employees or participants) must report to the plan certain information for prescription drug claims under the plan. This includes, for each drug, the difference between the compensation paid by the plan to the PBM and the compensation paid by the PBM to the pharmacy. Further, for each therapeutic class of drugs under the plan, a PBM must report (1) the total amount it received in rebates, fees, and discounts; and (2) the net spending for each class after such rebates, fees, and discounts. Each PBM also must report certain information about (1) drugs for which total spending exceeded $10,000; and (2) drugs dispensed through pharmacies affiliated with the plan or PBM, such as the percentage of prescriptions dispensed by such affiliates. Finally, a PBM providing services to any group health insurance plan must provide the plan with a summary document that includes similar information for prescription drug claims under the plan, as determined by the Department of Health and Human Services. Plans must also make certain aggregate summary information available to plan participants. PBMs and plans that violate these requirements are subject to civil penalties.

Summary from the Congressional Research Service. How we handle summaries

Where it stands

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House Committee on Energy and Commerce · U.S. House of Representatives

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Cosponsors

Related bills

• H.R. 1768Lower Costs for Everyday Americans ActRelated bill
• H.R. 6703Lower Health Care Premiums for All Americans ActRelated bill
• H.R. 7148Consolidated Appropriations Act, 2026Related bill
• S. 891Bipartisan Health Care ActRelated bill

As identified by Congress.gov.

Full history

1. Mar 27, 2025

   Introduced

   Introduced in House

   U.S. House of Representatives

2. Mar 27, 2025

   Introduced

   Introduced in U.S. House

   U.S. House

3. Mar 27, 2025

   Referred to committee

   Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

4. Mar 27, 2025

   Referred to committee

   Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

5. Mar 27, 2025

   Referred to committee

   Referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

Read the record

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