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Senators Elizabeth Warren (D-Mass.) and Josh Hawley (R-Mo.) on Feb. 10 introduced bipartisan legislation aimed at dismantling vertically integrated healthcare conglomerates they say drive up costs and stifle competition.
The bill would bar a parent company from owning both a medical provider or management services organization and a pharmacy benefit manager (PBM) or insurer, and would also restrict wholesalers from owning provider organizations.
It targets firms such as UnitedHealthcare (Optum), CVS Health (Caremark/Aetna) and other companies whose PBMs process the majority of U.S. prescriptions.
Supporters call the measure a “Glass-Steagall” for health care and would empower the FTC, HHS and DOJ to enforce penalties and bring suits against noncompliant firms.
The move follows bipartisan scrutiny of PBMs, recent provisions in a federal appropriations package and White House executive actions on drug prices.
Industry leaders have pushed back, saying integrated models benefit consumers.
The bill’s unveiling ahead of U.S. midterm elections highlights political pressure to address affordability and market concentration in the health sector.






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