[Federal Register Volume 91, Number 40 (Monday, March 2, 2026)]
[Proposed Rules]
[Pages 10033-10034]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2026-04084]


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DEPARTMENT OF LABOR

Employee Benefits Security Administration

29 CFR Part 2550

RIN 1210-AB37


Improving Transparency Into Pharmacy Benefit Manager Fee 
Disclosure; Extension of Comment Period

AGENCY: Employee Benefits Security Administration, Department of Labor.

ACTION: Proposed rule; extension of the comment period.

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SUMMARY: This document extends the comment period on the Department's 
Improving Transparency Into Pharmacy Benefit Manager Fee Disclosure 
proposed rule. The proposed rule would require providers of pharmacy 
benefit management services and affiliated providers of brokerage and 
consulting services to disclose information about their compensation to 
fiduciaries of self-insured group health plans subject to the Employee 
Retirement Income Security Act (ERISA), for purposes of ERISA's 
statutory prohibited transaction exemption for services arrangements. 
The proposed rule was published in the Federal Register on January 30, 
2026, with a comment deadline of March 31, 2026. On February 3, 2026, 
the Consolidated Appropriations Act, 2026 amended ERISA to add several 
provisions relating to providers of pharmacy benefit management 
services. Consequently, the Department is extending the comment period 
for an additional 15 days, to April 15, 2026, to allow interested 
persons to address whether the rule should be adjusted due to these new 
statutory provisions.

DATES: The comment period for the proposed rule published January 30, 
2026, at 91 FR 4348, is extended. Comments should be received on or 
before April 15, 2026.

ADDRESSES: You may submit comments, identified by RIN 1210-AB37, by one 
of the following methods:
     Federal eRulemaking Portal: http://www.regulations.gov. 
Follow the instructions for submitting comments.
     Mail or Personal Delivery: Office of Regulations and 
Interpretations, Employee Benefits Security Administration, Room N-
5655, U.S. Department of Labor, 200 Constitution Avenue NW, Washington, 
DC 20210.
    Instructions: All submissions received must include the agency name 
and Regulation Identifier Number (RIN) for this rulemaking. Comments 
received, including any personal information provided, will be posted 
without change to http://www.regulations.gov and http://www.dol.gov/ebsa, and made available for public inspection at the Public Disclosure 
Room, N-1513, Employee Benefits Security Administration, 200 
Constitution Avenue NW, Washington, DC 20210. Persons submitting 
comments electronically are encouraged not to submit paper copies. We 
encourage commenters to include supporting facts, research, and 
evidence in their comments. When doing so, commenters are encouraged to 
provide citations to the published materials referenced, including 
active hyperlinks. Likewise, commenters who reference materials which 
have not been published are encouraged to upload relevant data 
collection instruments, data sets, and detailed findings as a part of 
their comment. Providing such citations and documentation will assist 
us in analyzing the comments.

[[Page 10034]]

    Warning: Do not include any personally identifiable or confidential 
business information that you do not want publicly disclosed. Comments 
are public records posted on the internet as received and can be 
retrieved by most internet search engines.
    Docket: Go to the Federal eRulemaking Portal at https://www.regulations.gov for access to the rulemaking docket, including the 
plain-language summary of the proposed rule of not more than 100 words 
in length required by the Providing Accountability Through Transparency 
Act of 2023.

FOR FURTHER INFORMATION CONTACT: Stephen Sklenar or Saliha Moore, 
Office of Regulations and Interpretations, Employee Benefits Security 
Administration, Department of Labor, at 202-693-8513. This is not a 
toll-free number.
    Customer service information: Individuals interested in obtaining 
general information from the Department of Labor concerning Title I of 
ERISA may call the EBSA Toll-Free Hotline at 1-866-444-EBSA (3272) or 
visit the Department's website (www.dol.gov/agencies/ebsa).

SUPPLEMENTARY INFORMATION: In Executive Order 14273, Lowering Drug 
Prices by Once Again Putting Americans First, President Trump 
instructed the Department to propose regulations to improve employer 
health plan transparency into the direct and indirect compensation 
received by pharmacy benefit managers.\1\ Businesses that provide 
pharmacy benefit management services (hereinafter ``PBMs'' unless 
otherwise specified) to ERISA-covered self-insured group health plans 
have acquired significant influence over prescription drug costs in 
recent years. By addressing the influence of PBMs and promoting 
transparent pricing, President Trump's Executive Order aims to create a 
fairer and more competitive prescription drug market that lowers costs 
and ensures accountability across the healthcare system.\2\
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    \1\ 90 FR 16441 (April 18, 2025).
    \2\ See Fact Sheet: President Donald J. Trump Announces Actions 
to Lower Prescription Drug Prices (April 15, 2025) (``The 
[Executive] Order builds off [the Administration's] critical work 
and reevaluates the role of middlemen by: Improving disclosure of 
fees that pharmaceutical benefit managers (PBMs) pay to brokers for 
steering employers to utilize their services . . .''), https://www.whitehouse.gov/fact-sheets/2025/04/fact-sheet-president-donald-j-trump-announces-actions-to-lower-prescription-drug-prices/.
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    The Department's Improving Transparency Into Pharmacy Benefit 
Manager Fee Disclosure proposed rule responds to the President's 
directive. The proposed rule was issued under ERISA section 408(b)(2), 
which is a statutory prohibited transaction exemption that exempts 
certain arrangements between ERISA-covered plans (including self-
insured group health plans) and service providers that otherwise would 
be prohibited transactions under ERISA section 406. The proposed rule 
would require providers of pharmacy benefit management services and 
affiliated providers of brokerage and consulting services to provide 
robust disclosures to responsible plan fiduciaries of self-insured 
group health plans regarding their compensation for such services, 
including the advance disclosure of compensation they reasonably expect 
to receive. The proposed rule also includes audit provisions designed 
to ensure that the responsible plan fiduciaries can verify the accuracy 
of the disclosures. These provisions would allow the responsible plan 
fiduciaries to assess the reasonableness of the contracts or 
arrangements with these service providers, including the reasonableness 
of the service providers' compensation.
    The Consolidated Appropriations Act, 2026 (CAA, 2026) was signed 
into law on February 3, 2026, after the publication of the Improving 
Transparency Into Pharmacy Benefit Manager Fee Disclosure proposed 
rule. CAA, 2026 amended ERISA section 408(b)(2) in several ways 
relevant to providers of pharmacy benefit management services, 
including by adding disclosure requirements, requirements to pass 
through to the plan rebates received from certain parties in the 
pharmaceutical supply chain, and related audit requirements.\3\ Amended 
ERISA section 408(b)(2) also provides specific regulatory authority to 
the Secretary of Labor.\4\
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    \3\ Consolidated Appropriations Act, 2026, Division J, Title 
VII, section 6702.
    \4\ See ERISA section 408(b)(2)(B)(iii) (``A covered service 
provider shall disclose to a responsible plan fiduciary, in writing, 
the following (in accordance with regulations issued by the 
Secretary, addressing time, manner, and content of such disclosures) 
. . .''); ERISA section 408(b)(2)(C)(ii)(II) (``[T]he Secretary may 
issue regulations governing--(aa) procedures for the remittance of 
rebates, fees, alternative discounts, and other remuneration under 
subclause (I)(aa); (bb) any audit pursuant to this subparagraph; and 
(cc) the timing, manner, and content of the disclosure of rebates, 
fees, alternative discounts, and other remuneration under subclause 
(I)(bb) as well as other information the Secretary determines 
necessary for the responsible plan fiduciary to consider the 
reasonableness of the contract or arrangement (provided that such 
information does not include personally identifiable health 
information or protected health information subject to established 
individual privacy and nondiscrimination requirements under law)'').
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    CAA, 2026 also amended ERISA by adding a new section 726 entitled 
``Oversight of Entities that Provide Pharmacy Benefit Management 
Services.'' \5\ Section 726 requires among other things that entities 
that provide pharmacy benefit management services to certain group 
health plans (including through health insurance issuers) make reports 
to the group health plans. The reports must include specified 
information with respect to drugs covered by the group health plan and 
must be made every six months (or, at the request of the group health 
plan, every quarter).
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    \5\ Consolidated Appropriations Act, 2026, Division J, Title 
VII, section 6701.
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    The Department's goal remains to improve employer health plan 
transparency into the direct and indirect compensation received by 
pharmacy benefit managers. In the Department's view, the CAA, 2026 
ERISA amendments reflect Congressional support for transparency into 
pharmacy benefit management practices as well as for the Department's 
regulatory authority under ERISA section 408(b)(2). The Department 
therefore asks interested persons to address, as part of their comments 
on the proposed rule, whether the rule should be adjusted in light of 
the CAA, 2026 amendments to ERISA, and if so, what adjustments are 
needed. For example, the Department seeks comment on whether specific 
provisions of the rule should be revised or whether new provisions 
should be added, in order to minimize complexity or align with the new 
statutory provisions, while continuing to fulfill the stated 
transparency goals of the proposal.

    Signed at Washington, DC.
Daniel Aronowitz,
Assistant Secretary, Employee Benefits Security Administration, 
Department of Labor.
[FR Doc. 2026-04084 Filed 2-27-26; 8:45 am]
BILLING CODE 4510-29-P