S. 4293: Pharmacy Benefit Manager Transparency Act of 2022
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S. 4293: Pharmacy Benefit Manager Transparency Act of 2022
117th Congress · introduced 2022-05-24 · Health · Latest: Placed on Senate Legislative Calendar under General Orders. Calendar No. 647.
federal
Follow this bill, step by step
- Where it came from: introduced 2022-05-24 · official record
- Who proposed it: Sen. Cantwell, Maria [D-WA] · what a sponsor is
- What happened next: no floor votes in our records yet. Why?
- Where it stands now: Placed on Senate Legislative Calendar under General Orders. Calendar No. 647. Not final yet: this can still change. We check for updates every day.
- If it becomes law and spends money: follow the money to money laws, then agencies and contracts and grants.
Official title
Pharmacy Benefit Manager Transparency Act of 2022
Plain summary
Pharmacy Benefit Manager Transparency Act of 2022 This bill generally prohibits pharmacy benefit managers (PBMs) from engaging in certain practices when managing the prescription drug benefits under a health insurance plan, including charging the plan a different amount than the PBM reimburses the pharmacy. The bill also prohibits PBMs from arbitrarily, unfairly, or deceptively (1) clawing back reimbursement payments, or (2) increasing fees or lowering reimbursements to pharmacies to offset changes to federally funded health plans. PBMs are not subject to these prohibitions if they (1) pass along 100% of any price concession or discount to the health plan, and (2) disclose specified costs, prices, reimbursements, fees, markups, discounts, and aggregate payments received with respect to their PBM services. Further, PBMs must report annually to the Federal Trade Commission (FTC) certain information about payments received from health plans and fees charged to pharmacies. The FTC and state attorneys general are authorized to enforce the provisions of the bill.
Congressional Research Service summary (Reported to Senate), quoted unchanged (nonpartisan). Read the source.
What a vote does
A “Yea” vote
If it passes both chambers and is signed, it becomes law.
A “Nay” vote
If it is not passed, current law stays as it is.
PSI Sci description of the legislative step (not an opinion).
What does this mean? (plain words)
Official text
Pharmacy Benefit Manager Transparency Act of 2022
Source: Congressional Research Service summary (Reported to Senate)
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How did my representative vote? · This bill's floor votes
Officials and money
Sponsor: Sen. Cantwell, Maria [D-WA] · 8 cosponsors
Cost estimate: No cost estimate published yet.
Cosponsors on this site
Chuck Grassley (R-IA), John Boozman (R-AR), Jerry Moran (R-KS), Thom Tillis (R-NC), Cindy Hyde-Smith (R-MS), Shelley Moore Capito (R-WV)
Sponsor's campaign money: Sen. Cantwell, Maria [D-WA] reported raising $985,139 (2025–2026). Details. Shown for context only; it does not mean any donor supported this bill.
No linked floor roll calls in our collected records yet. This does not mean the bill has never had a vote. Check the official bill history.
Words on this page, explained (2)
- Authorization
- A law that creates or continues a government program and says what it may do, often with a suggested spending ceiling. An authorization alone does not provide money; a separate appropriation does.
- Bill
- A proposed law. It becomes law only if it passes the legislature and is signed by the president or governor (or a veto is overridden).
Plain meanings written from linked sources. All words.
Sources
- Congressional Research Service summary (Reported to Senate)
- Congress.gov
- Data: GovInfo BILLSTATUS bulk data (Library of Congress), BILLSTATUS-117s4293.xml <https://www.govinfo.gov/bulkdata/BILLSTATUS/117/s>
Record fed-us-cong117-s4293 · catalog fed-us-congress-bills-cong117 · updated 2026-11-15 by psicol fed-bills-cong117