LEGISLATURE
It’s the bill known as the Consolidated Appropriations Act, 2026 (H.R. 7148). House Passes HR 7148, Advancing New PBM Transparency and Compensation Rules | Troutman Pepper Locke - JDSupra Here’s a link to the bill text… https://www.congress.gov/bill/119th-congress/house-bill/7148 looks like it’s Buddy Carter’s bill. That’s great. MSN Shout out to the pharmacists!!! Great work, you guys. https://www.youtube.com/watch?v=3lsPNR-boqM
DEPT OF LABOR
via Keith SonderlingKeith Sonderling • 2ndVerified • 2ndUnited States Deputy Secretary of Labor
The U.S. Department of Labor issued a landmark proposed regulation designed to bring overdue transparency to the fees and compensation 𝘗𝘩𝘢𝘳𝘮𝘢𝘤𝘺 𝘉𝘦𝘯𝘦𝘧𝘪𝘵 𝘔𝘢𝘯𝘢𝘨𝘦𝘳𝘴 (𝘗𝘉𝘔) receive. The proposed regulation is the most significant federal reform of prescription drug middlemen proposed in decades.
The proposed rule would require pharmacy benefit managers to make disclosures to plan fiduciaries that would allow them to assess the reasonableness of compensation for the services under the law.
The proposed rule requires PBMs to disclose the following information for the first time:
•Rebates and other payments from drug manufacturers.
•Compensation received when the price paid by the plan for a prescription drug exceeds the amount reimbursed to the pharmacy.
•Payments recouped from pharmacies in connection with prescription drugs dispensed to the plan.
The proposed regulation would also allow plan fiduciaries to audit the accuracy of PBM disclosures and provides additional relief for plan fiduciaries if their PBM fails to meet its obligation.
By lowering drug costs, the Trump administration is putting money back in the pockets of American workers and retirees, their families, and businesses.
𝗖𝗼𝗺𝗺𝗲𝗻𝘁𝘀 𝗼𝗻 𝘁𝗵𝗲 𝗽𝗿𝗼𝗽𝗼𝘀𝗮𝗹 𝗮𝗿𝗲 𝗱𝘂𝗲 𝟲𝟬 𝗱𝗮𝘆𝘀 𝗳𝗿𝗼𝗺 𝗶𝘁𝘀 𝗝𝗮𝗻. 𝟯𝟬 𝗽𝘂𝗯𝗹𝗶𝗰𝗮𝘁𝗶𝗼𝗻 𝗶𝗻 𝘁𝗵𝗲 𝗙𝗲𝗱𝗲𝗿𝗮𝗹 𝗥𝗲𝗴𝗶𝘀𝘁𝗲𝗿: LinkedIn
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FTC
We are still waiting for this…summer at the latest, I promise.
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Yeah, the appropriations bill that just failed to pass in the Senate:
The most relevant change is that funding for the DHS was removed from the bill and replaced by a two week extension of the current funding. Whether this passes the house on Monday is a big deal…
There is some text from what was the Crapo bill in the Senate, which is what I think Troutman Pepper Locke might have been referring to:
If you see read the page you will see a link to the text at the bottom and I checked HR7148 and it does look like there may be a match. Mr Crapo’s bill has not advanced but as I understand the clandestine process bits of it, or all of it, may have got added to HR7148.
I checked HR7148 for text similar to that in S.3345 and there is at least one identical passage but it’s difficult to know how much change there was; the changes were made in the house, so I’m guessing you know about a house bill that was incorporated?
The whole process is incredibly squirrelly; appropriations bills have bits that get attached and then the conundrum of the curate’s egg results, a bill that is “good in parts” (to quote the curate to the bishop when the latter complained his egg was bad).
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Ok. Thanks John. Nothing should have changed over the weekend. The vote was scheduled for Monday. This is me trying to drum up information this morning. I’m so wound up that I can’t even really read or think straight.
I think we are OK. It’s on the schedule in the House. Consolidated Appropriations Act, 2026 (H.R. 7148) - GovTrack.us
I think we wanna watch Buddy Carters bill.
Final vote is in the House on Monday. It’s the bill known as the PBM Reform Act, part of the Consolidated Appropriations Act, 2026 (H.R. 7148). It’s possible that the full HR 7148 went down over DHS funding. They have been fighting over that.
Buddy’s bill passed the House and went to the Senate. The Senate did some rewriting of language, so it returns to the House for a vote in it’s new form. That’s probably a final vote on Monday. I assume it will pass. I think that’s pretty likley.
They are breaking pieces off of bills and sending sections through that they think can pass. It IS super squirrely. PBM leg is notoriously so.
