Prohibits service providers to employer health plans from paying anyone compensation to steer, influence, or renew pharmacy benefit management contracts, including through brokers or consultants.

• Amends ERISA section 408(b)(2)(B) to add a new clause on pharmacy benefit management contracts with covered plans.
• Bars compensation paid for referring, recommending, or renewing plan business, or for shaping requests for proposals, market checks, evaluations, or other contracting processes.
• Judges compensation by its economic substance and practical operation, not by how it is labeled.
• Presumes payments to brokers, consultants, or advisors are tied to those activities unless written records show fair market value for services actually rendered and no such link.
• Applies to plan years beginning after enactment.

• Education and Workforce Committee (House)

Health