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This bill amends Medicare and Medicaid law to regulate pharmacy benefit managers (PBMs) and ensure accurate pharmacy reimbursement. It requires the Secretary of Health and Human Services to conduct monthly surveys of pharmacy drug acquisition costs to establish national benchmarks, applies these benchmarks to Medicaid payment rates, and prohibits "spread pricing" practices where PBMs profit from the difference between what they pay pharmacies and what they charge insurers. The bill also establishes transparency requirements, oversight mechanisms, and civil penalties for non-compliance by pharmacies and PBMs.
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