Engaging Policymakers on Capitol Hill
ATAP’s strategy at the federal level focuses on two main objectives:
- Work with Congress and the Department of Health and Human Services to establish, with stakeholder input and subject to public comment, agreed upon definitions to bring clarity and transparency to what constitutes a "rebate" versus a "fee" versus any other of the classifications that a PBM may have for money flowing to and from it. Once definitional clarity exists, disclosure will be meaningful.
- Work with Congress and CMS to implement mandatory pass-through policies that would require PBMs to pass back a specified amount of rebates to the health plans to be applied at the point of sale to reduce patients’ out-of-pocket expenses.