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The Patient Right to Shop Act prohibits group health plans and health insurance issuers from entering into contracts with pharmacy benefit managers (PBMs) that block or restrict access to consumer decision-support tools. These tools are designed to inform enrollees about all costs for prescription drugs, including out-of-pocket expenses, copayments, coinsurance, and alternative purchasing options like cash prices or mail-order pharmacies. The bill applies to group and individual health insurance coverage and requires the Secretaries of Health and Human Services, Labor, and Treasury to issue implementing regulations within one year, with the prohibition taking effect two years after enactment.
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