Pharmacy DIR Reform To Reduce Senior Drug Costs Act
- Last Action
- 5/26/2021
Actions
- 2021-05-26Referred to the Subcommittee on Health.
- 2021-05-25Referred to the Committee on Energy and Commerce, and in addition to the Committee on 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.
- 2021-05-25Referred to the Committee on Energy and Commerce, and in addition to the Committee on 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.
- 2021-05-25Introduced in House
- 2021-05-25Introduced in House
CRS Summary
As of 2021-05-25 (00)
Pharmacy DIR Reform To Reduce Senior Drug Costs Act
This bill establishes certain requirements for prescription drug plans and the prices of covered drugs under the Medicare prescription drug benefit.
Specifically, the bill requires price concessions, payments, and fees that are negotiated with a pharmacy to be included in a drug's negotiated price, excluding incentive payments, and for this price to be provided at the point of sale. Additionally, prescription drug plans must report price concessions or incentive payments that are made after payment for covered drugs at the point of sale, including by contracted intermediaries, to the pharmacy at least annually.
The Centers for Medicare & Medicaid Services must establish standardized pharmacy performance measures with respect to incentive payments and price concessions; such measures must account for all pharmacy types, including specialty pharmacies, and focus on patient health outcomes and other targeted areas.
Cosponsors (20)
- H. Griffith (R-VA)
- Vicente Gonzalez (D-TX)
- Earl Carter (R-GA)
- Raja Krishnamoorthi (D-IL)
- John Rose (R-TN)
- Abigail Spanberger (D-VA)
- Diana Harshbarger (R-TN)
- JAMES COOPER (D-TN)
- Cynthia Axne (D-IA)
- Charles Fleischmann (R-TN)
- Fred Keller (R-PA)
- Robert Wittman (R-VA)
- David McKinley (R-WV)
- Ralph Norman (R-SC)
- Rick Allen (R-GA)
- Vern Buchanan (R-FL)
- Jeff Fortenberry (R-NE)
- David Kustoff (R-TN)
- Bill Posey (R-FL)
- James Comer (R-KY)
Subjects
- Health care costs and insurance
- Health care quality
- Inflation and prices
- Medicare
- Performance measurement
- Prescription drugs
Sourced from Congress.gov (public domain).
This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.