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1 bill on this topic
“Health plan fiduciaries and group health insurers should have to tell the Labor Secretary each year whether required data is available on time and contracts are not blocking access, file the statement themselves in most cases, and explain when service providers keep them from getting the needed information.”
1 bill on this topic
“Contract terms that unfairly block or delay a health plan fiduciary's access to covered de-identified claims data should be unenforceable, and service providers should face $10,000 per day in federal fines when their agreements violate the data-access protections.”
1 bill on this topic
“Federal agencies should be able to fine TPAs, PBMs, and similar service providers up to $100,000 per day if they fail to give required data to employer or non-federal government health plans.”
1 bill on this topic
“Employer health plans should be able to see detailed claims, rebate, fee, and payment data from the companies that help run their benefits.”
1 bill on this topic
“TPAs, PBMs, and similar vendors should have to give employer and non-federal government health plans regular electronic files showing claims, prices, rebates, fees, discounts, payment methods, and other compensation, even if contracts try to block it.”
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