; or (ii) a pharmacy benefit manager offering services under such plan (or any person with an ownership or control interest (as so defined) in such sponsor) is a person with an ownership or control interest (as so defined). . (b) MedPAC reports Part E of title XVIII of the Social Security Act ( 42 U.S.C. 1395x et seq. ), as amended by section 101, is further amended by adding at the end the following new section: 1899D. Reports on vertical integration under Medicare (a) In general Not later than June 15, 2029, and every 3 years thereafter, the Medicare Payment Advisory Commission shall submit to Congress a report on the state of vertical integration in the health care sector during the applicable year with respect to entities participating in the Medicare program, including health care providers, pharmacies, prescription drug plan sponsors, Medicare Advantage organizations, and pharmacy benefit managers. Such report shall include— (1) with respect to Medicare Advantage organizations, the evaluation described in subsection (b); (2) with respect to prescription drug plans, pharmacy benefit managers, and pharmacies, the comparisons and evaluations described in subsection (c); (3) with respect to Medicare Advantage plans under which benefits are available for physician-administered drugs, the information described in subsection (d); and (4) the identifications described in subsection (e)