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Legislative


Upended: Can PBM Transparency Succeed?
Simmering tensions in the pharmacy benefit management (PBM) industry have turned into fault lines. The PBMs challenging the "big three"...
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Mar 7, 202412 min read


White House Roundtable on Lowering Healthcare Costs and Bringing Transparency to Prescription Drug Middlemen
ICYMI: Watch It Now
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Mar 6, 20241 min read


Press Release | Pharmacists Rally at Illinois State Capitol to Support Increased State Oversight of Prescription Drug Middlemen
FOR IMMEDIATE RELEASE March 5, 2024 Community Pharmacists Call Attention to Increasing Prescription Drug Costs, Decreased Access to Care and Emerging Pharmacy Deserts Correlated to Pharmacy Benefit Manager Practices SPRINGFIELD, IL (March 5, 2024) – Illinois pharmacists will gather at the State Capitol today to rally in support of HB 4548 and SB 2790 , proposed legislation which would eliminate controversial practices by prescription drug middlemen known as pharmacy benefit
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Mar 5, 20243 min read


Scoop: Congress eyes narrow health package
Axios Pro Only a handful of health care provisions that mostly extend existing programs are likely to catch a ride on the next government...
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Feb 26, 20242 min read


Coalition of AGs wants congressional action to reform pharmacy benefit managers
Augusta Free Press A bipartisan coalition of 39 attorneys general is encouraging Congress to take decisive action to reform the way...
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Feb 21, 20242 min read


Bill would save Kentucky consumers money, help independent pharmacies survive, says sponsor
Kentucky Lantern Four years after leading the effort to cut corporate middlemen out of the prescription drug business for Kentucky’s...
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Feb 14, 20242 min read


Strange bedfellows agree: PBM pricing reform cannot stop at Medicare, Medicaid
HEALTH CARE un-covered by Wendell Potter Regular readers of this newsletter know that pharmacy benefit managers have come to be an...
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Feb 3, 20243 min read


How PBM legislation would transform the industry
Modern Healthcare The pharmacy benefit manager industry could look a lot different soon if Congress follows through with bipartisan...
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Jan 30, 20244 min read


Feds drop appeal in drug copay assistance case
Modern Healthcare The federal government has dropped its appeal of a court decision that could affect health insurance companies' use of...
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Jan 25, 20242 min read


Delaware committee advises against Medicare Advantage for state retirees
Becker's Payer Issues A state committee is recommending Delaware cast aside any plans to provide retired state employees health benefits...
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Jan 24, 20241 min read


Tenth Circuit Decision on Regulating Pharmacy Benefit Managers Remains in Place As Oklahoma Appeals to U.S. Supreme Court
Duane Morris Law A decision from the United States Court of Appeals for the Tenth Circuit, which found that several provisions of an...
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Jan 15, 20243 min read


California fines Anthem Blue Cross for slow provider payments
Becker's Payer Issues The California Department of Managed Health fined Anthem Blue Cross of California $690,000 for failure to reimburse...
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Jan 8, 20241 min read


The House passed its health bill. How's the Senate doing?
Axios Pro The House's passage of its big health care transparency bill this week shifts the focus to the Senate, which will have to work...
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Dec 14, 20232 min read


House passes site-neutral policy, transparency, PBM reform package
STAT News The House passed a relatively major health care package late Monday, an end-of-year victory after the same policies had to be...
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Dec 12, 20232 min read


E&C approves PBM, Medicare coverage bills
Axios Pro The House Energy and Commerce Committee teed up a series of health bills for floor votes during a marathon markup on Wednesday...
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Dec 11, 20232 min read


PBM Accountability Project, Pharmacists United for Truth & Transparency, and Nearly 50 Other Stakeholder Organizations Urge Congress to Pass PBM Reforms
"The predatory impact of PBM practices is extensively documented in the public record. And it is felt every day at pharmacy counters by millions of Americans who cannot afford their medicines. The time to deliver real results is now." November 28, 2023 Representative Cathy McMorris Rodgers Chair, Committee on Energy and Commerce 2188 Rayburn House Office Building Washington, DC 20515 Representative Frank Pallone Ranking Member, Committee on Energy and Commerce 2107 Rayburn Ho
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Nov 28, 20235 min read


Sen. Warren finally wises up to the 'unintended consequences' of a key Obamacare rule
Blaze Media Sen. Elizabeth Warren (D-Mass.) is finally acknowledging some of the "unintended consequences" of Obamacare, according to the...
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Nov 27, 20232 min read


Senate Finance Committee targets PBM reform in new legislation
The bill (which passed unanimously) would introduce more transparency and regulation to PBMs, and pharmacies would be required to report...
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Nov 16, 20233 min read


Biden's limit on drug industry middlemen backfires, pharmacists say
CBS News The Biden administration's first major step toward imposing limits on the pharmacy benefit managers who act as the drug...
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Nov 14, 20235 min read


Key Senate panel to consider PBM, drug pricing reform package
STAT+ A key Senate panel announced it will consider more policies to regulate pharmacy middlemen and ensure patients aren’t paying more...
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Nov 7, 20233 min read
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