https://cephas.lianabanyan.com/tags/pbm/Recent content in Pbm on Cephas - Liana Banyan Knowledge CenterHugo -- 0.152.2en-us© 2026 Liana Banyan Corporation. All rights reserved.Tue, 12 May 2026 00:00:00 +0000https://cephas.lianabanyan.com/im-just-a-bill/lower-costs-more-transparency/Tue, 12 May 2026 00:00:00 +0000https://cephas.lianabanyan.com/im-just-a-bill/lower-costs-more-transparency/<h1 id="-im-just-a-bill--lower-costs-more-transparency-act">👀 I&rsquo;m Just a Bill — Lower Costs, More Transparency Act</h1> <h2 id="a-liana-banyan-im-just-a-bill-bounty-poster">A Liana Banyan &ldquo;I&rsquo;m Just a Bill&rdquo; Bounty Poster</h2> <h2 id="what-is-this-bill">What is this bill?</h2> <p>Healthcare-cost transparency and Pharmacy Benefit Manager (PBM) reform legislation in the 119th Congress. Focuses on hospital-price transparency, PBM transparency, and direct-to-consumer drug pricing.</p> <h2 id="what-does-it-actually-do">What does it actually do?</h2> <ul> <li><strong>Hospital price transparency:</strong> Strengthens existing CMS price-transparency rules; adds enforcement.</li> <li><strong>PBM transparency:</strong> Requires PBMs to disclose rebate structures and pass-through pricing arrangements.</li> <li><strong>Drug coupons:</strong> Modifies Medicare/Medicaid treatment of manufacturer drug coupons.</li> <li><strong>Site-neutral payments:</strong> Adjusts Medicare payment differentials between hospital-outpatient and physician-office settings for the same procedures.</li> <li><strong>PBM reform:</strong> Specific provisions limiting PBM &ldquo;spread pricing&rdquo; and clawback practices.</li> </ul> <h2 id="who-votes-when">Who votes when?</h2> <ul> <li>House Energy &amp; Commerce + Ways &amp; Means + Senate Finance + HELP active consideration.</li> </ul> <h2 id="how-does-this-affect-cooperative-class-families">How does this affect cooperative-class families?</h2> <p>Composes directly with three cooperative-healthcare initiatives:</p>