PBM Reform Act of 2025
Take action
Record your position on this measure.
Create an account to record your position, submit testimony, or contact your legislator.
Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To President
- Became Law
Overview
The Pharmacy Benefit Manager Reform Act of 2025 aims to improve access to pharmacy services for Medicare beneficiaries and increase transparency in how pharmacy benefit managers (PBMs) operate. It seeks to allow more pharmacies to participate in Medicare drug plans, establish standards for PBM contract terms, and provide more information about how PBMs reimburse pharmacies. The bill also focuses on ensuring essential retail pharmacies receive adequate compensation and promotes accountability for PBMs’ practices.
Key provisions
- Allows any pharmacy meeting contract terms to participate in Medicare drug plan networks.
- Establishes standards for reasonable and relevant contract terms between PBMs and pharmacies.
- Requires reports on essential retail pharmacy trends, including reimbursement rates and participation in networks.
- Mandates that PBMs provide information to plans regarding drug pricing and rebates.
- Creates a process for pharmacies to challenge PBM contract terms.
- Requires PBMs to disclose agreements with drug manufacturers and provide transparency on compensation structures.
- Establishes a reporting requirement for PBMs regarding their agreements with pharmacy benefit managers.
- Requires group health plans to ensure PBMs disclose information necessary for reporting.
Who is affected
- Medicare beneficiaries
- Pharmacy Benefit Managers (PBMs)
Bill text
Read the latest version inline or switch to a previous version.
Text extraction is in progress. View the official source.
Sponsors
Official sponsors from legislative records.
71 on record
Primary sponsor
Cosponsors
Arguments
Reasons offered for and against this legislation.
Arguments in favor
No arguments in favor have been submitted.
Submit yoursArguments opposed
No arguments opposed have been submitted.
Submit yours