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Increased Pharmacy Choice for Medicare Beneficiaries

This bill aims to ensure Medicare beneficiaries have more choices when selecting pharmacies. It means more pharmacies will be able to join prescription drug plans, potentially improving access to necessary medications and fostering competition. These changes are set to take effect from 2028, with standards for pharmacy contracts to be established beforehand.
Key points
Any pharmacy meeting standard contract terms will be allowed to participate as a network pharmacy in Medicare prescription drug plans.
Starting in 2028, contract terms between plans and pharmacies must be reasonable and relevant, based on new standards.
The Secretary will establish these standards by April 2027, after gathering input on current practices and pharmacy costs.
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Additional Information
Print number: 118_HR_7718
Sponsor: Rep. Gallego, Ruben [D-AZ-3]
Process start date: 2024-03-19
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Summarized by: gemini-2.5-flash-preview-05-20
Source data: api.congress.gov
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OFFICIAL LEGAL TITLE

To amend title XVIII of the Social Security Act to assure pharmacy access and choice for medicare beneficiaries.

FREQUENTLY ASKED QUESTIONS

What is the official ID of this bill?

The official print number for this legislation is 118_HR_7718.

Which chamber initiated this legislation?

This legislation was initiated in the House of Representatives.

When did the legislative process begin?

The process officially started on 2024-03-19.

What are the main provisions?

Key points include:

  • Any pharmacy meeting standard contract terms will be allowed to participate as a network pharmacy in Medicare prescription drug plans.
  • Starting in 2028, contract terms between plans and pharmacies must be reasonable and relevant, based on new standards.
  • The Secretary will establish these standards by April 2027, after gathering input on current practices and pharmacy costs.
What is the specific legal status?

The current status is Expired.

Where can I read the full text of this legislation?

The full official text is available at: View full text

Who is the primary sponsor?

The primary sponsor is Rep. Gallego, Ruben [D-AZ-3].

What is the latest detailed status?

The latest detailed status is: Referred to the Subcommittee on Health.

Is this summary verified?

Yes. This content was analyzed by AI and verified by the Lustra Judge System on 2025-12-25.

CATEGORIES

Health Benefits