; and (B) by adding at the end the following new paragraph: (5) To carry out the reporting requirement under subsection (e). ; and (4) by adding at the end the following new subsections: (e) Public reporting requirement Not later than the first calendar quarter following the first full plan year beginning on or after the date of enactment of this subsection, and annually thereafter, the Secretary shall publish on a public website of the Department of Health and Human Services the information reported under subsection (b), in accordance with the confidentiality requirements described in subsection (c). (f) Definitions In this section: (1) Brand effective rate The term brand effective rate means the claim reimbursement for a brand name drug, expressed as a percentage discount from the average wholesale price of such drug. (2) Generic effective rate The term generic effective rate means the claim reimbursement for a generic drug, expressed as a percentage discount from the average wholesale price of such drug. (3) Pharmacy benefits manager The term pharmacy benefits manager or PBM means— (A) an entity that manages prescription drug benefits on behalf of an entity described in paragraphs (1) through (3) of subsection (a); and (B) for purposes of this section, includes any other organization that— (i) has directly or indirectly (as determined by the Secretary in regulations), an ownership interest of 5 percent or more in the PBM; (ii) shares, or is otherwise a part of, the same organizational structure as the PBM; (iii) exercises operational, financial, or managerial control over the PBM or a part thereof, or provides policies or procedures for any of the operations of the PBM, or provides financial or cash management services to the PBM