# 119-hr-2450: Prescription Drug Transparency and Affordability Act

119-hr-2450, Prescription Drug Transparency and Affordability Act, is a 119th Congress bill sponsored by Rep. McDonald Rivet, Kristen [D-MI-8] (D-MI); status introduced; PRIA reads it as touching household money (as of 2026-08-27).

- Canonical: https://policyrisk.com/legislation/119-hr-2450
- As of: 2026-08-27
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-2450
- Congress: 119
- Title: Prescription Drug Transparency and Affordability Act
- Status: introduced
- Introduced: 2025-03-27
- Sponsor: Rep. McDonald Rivet, Kristen [D-MI-8] (D-MI)
- Cosponsors: 3
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-08-27

## Summary

**PBM transparency and reporting**. This bill would require pharmacy benefit managers (PBMs) to produce detailed, machine‑readable drug and claim reports for group health plans and to give accessible summaries to participants and plan selectors. - Families and patients would get plain-language summaries and can request claim-level information. Reports must show participant out-of-pocket spending, copayment assistance where feasible, and net price information for drugs. - Employers and plan sponsors would receive standardized data at least every 6 months and can demand quarterly reports at the same cost. Contracts between plans and PBMs would have to include data-sharing and nondisclosure limits and the rules would start for plan years beginning 30 months after enactment. - PBMs and affiliated pharmacies would have to disclose detailed payment and remuneration flows, formulary rationales, affiliated‑pharmacy dispensing shares, and top-drug details for drugs exceeding $10,000 in plan spending or the plan's top 50 drugs. The Department of Health and Human Services would enforce the rules and could levy penalties of $10,000 per day for failures and up to $100,000 for each item of knowingly false information.

## Cosponsors (3)

- Rep. Carter, Earl L. "Buddy" [R-GA-1] (R-GA), 2025-03-27T00:00:00.000Z
- Rep. Menendez, Robert [D-NJ-8] (D-NJ), 2025-03-27T00:00:00.000Z
- Rep. James, John [R-MI-10] (R-MI), 2025-03-27T00:00:00.000Z

## Provisions PRIA read

- Drug cost reports to your plan: benefit, low. This bill would require your health plan’s PBM to send clear drug cost reports at least every 6 months. Upon request, the plan could get quarterly reports at the same price and terms. Reports would show what the plan paid the PBM and pharmacies, rebates and net prices, and what you paid out of pock…
- Privacy rules for PBM drug reports: benefit, low. PBM reports would have to follow HIPAA and HITECH privacy rules. Plans would give a yearly notice telling participants about these reports. Reports could be kept from the public, but plans could not block sharing with HHS, Labor, or Treasury, or stop you from getting information you are allowed to…
- Standard report format and definitions: benefit, low. The Secretary would set a standard PBM report format and finalize rules within 18 months of enactment. The bill would define who is covered (like manufacturers, wholesalers, rebate aggregators, and PBM affiliates) and key terms like contracted compensation, gross and net spending, and wholesale acq…
- Fines and enforcement for PBM reporting: mixed, medium. If enacted, the government could fine plans, issuers, PBMs, and others $10,000 for each day required information is missing. It could also fine up to $100,000 for each item of knowingly false information. Officials could waive penalties or give more time for good‑faith efforts. The bill would add E…

## Related bills

- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-6900: American Affordability Act of 2025
- 119-hr-7977: Energy Bills Relief Act
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-3277: Ensuring Lasting Smiles Act
- 119-hr-1422: Enhanced Iran Sanctions Act of 2025

## Sources
- [119-hr-2450 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/2450)

## Related
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-6900: American Affordability Act of 2025](https://policyrisk.com/legislation/119-hr-6900)
- [119-hr-7977: Energy Bills Relief Act](https://policyrisk.com/legislation/119-hr-7977)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-3277: Ensuring Lasting Smiles Act](https://policyrisk.com/legislation/119-hr-3277)
- [119-hr-1422: Enhanced Iran Sanctions Act of 2025](https://policyrisk.com/legislation/119-hr-1422)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-2450 (as of 2026-08-27).