118 S2436 IS: Neighborhood Options for Patients Buying Medicines Act U.S. Senate 2023-07-20 text/xml EN Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.

II118th CONGRESS1st SessionS. 2436IN THE SENATE OF THE UNITED STATESJuly 20, 2023Mr. Manchin (for himself and Mrs. Blackburn) introduced the following bill; which was read twice and referred to the Committee on FinanceA BILLTo amend title XVIII of the Social Security Act to assure pharmacy access and choice for Medicare beneficiaries.

1.

Short title

This Act may be cited as the Neighborhood Options for Patients Buying Medicines Act or the NO PBMs Act.

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..