Becker's Healthcare December 11, 2024
Mackenzie Bean

Federal lawmakers introduced a bipartisan bill Dec. 11 that would forbid the parent companies of insurers and pharmacy benefit managers from also owning pharmacy businesses.

The Patients Before Monopolies Act represents lawmakers’ boldest legislative attempt to regulate PBMs in recent years, though it’s uncertain whether the bill will gain traction in Congress and the House, according to The New York Times.

Six things to know about the legislation:

1. Sen. Elizabeth Warren, D-Mass., Sen. Josh Hawley, R-Mo., Rep. Diana Harshbarger, R-Tenn., and Rep. Jake Auchincloss, D-Mass., introduced the bill, which would prohibit the joint ownership of PBMs and pharmacies.

2. If enacted, the bill would require healthcare conglomerates that own both entities — including CVS Health, Cigna and UnitedHealth Group...

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