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ICongressional Budget Office
       Cost Estimate


May 22, 2019


By Fiscal Year, llions of Dollars   2019             20192024             2019o2029
Direct Spending (Outlays)             0                   0                     0


Revenues

Deficit Effect


0

0


0

0


0

0


H.R. 2376 would require the Federal Trade Commission (FTC) to study whether
anticompetitive practices exist within the pharmaceutical supply chain, especially practices
carried out by pharmacy benefit managers or intermediaries. The FTC would research
potential legal or regulatory barriers to effective enforcement and methods that payers and
companies use to assess the costs and benefits of contracting with intermediaries. Finally,
among other requirements, the FTC would be required to formulate policy or legislative
recommendations to deter anticompetitive behavior in the pharmaceutical supply chain. The
FTC would submit preliminary findings to the Congress 180 days following enactment and
provide a final report to the Congress one year following enactment.

Using information from the FTC on the cost of similar studies, CBO estimates that the FTC
would need nine employees including attorneys, economists, research analysts, and
paralegals. That effort would cost about $2 million over one year, subject to the availability
of appropriated funds. Although the cost would vary by position, CBO estimates that the
average cost per employee would be $175,000.

The CBO staff contact for this estimate is David Hughes. The estimate was reviewed by
H. Samuel Papenfuss, Deputy Assistant Director for Budget Analysis.






                See also CBO's Cost Estimates Explained, www,cbo.gov/publication/54437;
  How CBO Prepares Cost Estimates, www.cbo.gov/publication/53519; and Glossary, www cbo~gov/pubication/42904.

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