PlainBillCongress, translated.Legislation. Context. Public interest.Referred to the Subcommittee on Immigration, Citizenship, Refugees, Border Security, and International Law.
Congressional Research Service
Version 00 · Introduced in House · Mar 10, 2010
Amends the McCarran-Ferguson Act to restore application of the Clayton Act and other antitrust laws to insurers.
Prohibits premium variation except by geographic premium rating area and by family enrollment.
Requires each health benefits plan issuer that offers health insurance coverage in the individual or group market in a state to accept every employer and individual in the state that applies for such coverage.
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Places restrictions on federal funding of abortion, except in cases of certain physical conditions, rape, or incest.
Limits a health benefits plan to selling health insurance coverage to U.S. citizens and lawful resident aliens.
Amends title XVIII (Medicare) and title XIX (Medicaid) of the Social Security Act to revise requirements for: (1) Medicare Advantage, with respect to the blended benchmark amount and elimination of the MA Regional Plan Stabilization Fund; (2) an increase in the physician fee schedule practice expense geographic adjustment; (3) establishment of a Medicare operated prescription drug plan option; and (4) pharmacy reimbursement.
Amends the Federal Food, Drug, and Cosmetic Act (FFDCA) to revise requirements for the importation of prescription drugs. Requires the registration of importers and exporters.
Prescribes requirements for: (1) the disposition of certain drugs denied admission into the United States; (2) alternative identification of the chain of custody of certain prescription drugs, including through the use of standardized anti-counterfeiting or track-and-trace technologies; and (3) the sale of prescription drugs through an Internet site.
Prohibits the introduction of restricted transactions with unregistered foreign pharmacies into a payment system or the completion of such transactions using a payment system.
Amends the Internal Revenue Code to disallow a deduction from income for advertising and promotional expenses for prescription pharmaceuticals.
Requires a pharmacy benefit manager with a contract with a health benefits plan to comply with fiduciary standards established by the Secretary of Health and Human Services (HHS).
Amends SSA title XIX (Medicaid) to require any drug manufacturer with a rebate agreement concerning covered outpatient drugs to report to the HHS Secretary following a rebate period the total number of units used to calculate the monthly average manufacturer price for each covered outpatient drug.
People & committees
Rep. Berry, Marion [D-AR-1] · D–AR
Legislative record
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Referred to the Subcommittee on Immigration, Citizenship, Refugees, Border Security, and International Law.
Referred to the Subcommittee on Courts and Competition Policy.
Referred to the Subcommittee on Health, Employment, Labor, and Pensions.
Referred to House Education and Labor
Referred to House Ways and Means
Referred to House Oversight and Government Reform
Referred to House Judiciary
Referred to the Committee on Energy and Commerce, and in addition to the Committees on the Judiciary, Oversight and Government Reform, Ways and Means, and Education and Labor, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
Referred to House Energy and Commerce
Introduced in House
Introduced in House
Primary sources
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No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.
Source last updated: Mar 23, 2026. Consult Congress.gov for the current record.
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Analyze H.R.4813 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.
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