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Code · BILL · 117th Congress · H.R. 5260 (Introduced in House) — To amend titles XI, XVIII, and XIX of the Social Security Act to lower prescription drug prices in the Medicare and M... · Sec. 218

Sec. 218. HHS study and report on the influence of pharmaceutical manufacturer third-party reimbursement hubs on health care providers who prescribe their drugs and biologicals

210 words·~1 min read·/bill/117/hr/5260/ih/section-218

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The Secretary of Health and Human Services (in this section referred to as the Secretary ) shall conduct a study on the influence of pharmaceutical manufacturer distribution models that provide third-party reimbursement hub services on health care providers who prescribe the manufacturer’s drugs and biologicals, including for Medicare part D beneficiaries. The study under paragraph
(1)shall include an analysis of the following: The influence of pharmaceutical manufacturer distribution models that provide third-party reimbursement hub services to health care providers who prescribe the manufacturer’s drugs and biologicals, including— the operations of pharmaceutical manufacturer distribution models that provide reimbursement hub services for health care providers who prescribe the manufacturer’s products; Federal laws affecting these pharmaceutical manufacturer distribution models; and whether hub services could improperly incentivize health care providers to deem a drug or biological as medically necessary under section 423.578 of title 42, Code of Federal Regulations. Other areas determined appropriate by the Secretary. Not later than January 1, 2024, the Secretary shall submit to Congress a report on the study conducted under subsection (a), together with recommendations for such legislation and administrative action as the Secretary determines appropriate. In conducting the study under subsection
(a)and preparing the report under subsection (b), the Secretary shall consult with the Attorney General.
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