Extending Telehealth, Home Care, and Hospital Access; Increasing PBM Transparency.
This Act extends critical Medicare flexibilities, allowing citizens to continue accessing telehealth services from home, including mental health care, until the end of 2026. It also extends the "Hospital Care at Home" program until 2029 and provides financial support extensions for low-volume hospitals and ambulance services. Crucially, it mandates significant transparency and regulatory changes for Pharmacy Benefit Managers (PBMs) starting in 2027, aiming to reduce prescription drug costs.
Key points
Telehealth access, including the ability to receive services from home and use audio-only visits, is extended through December 31, 2026.
New transparency rules for Pharmacy Benefit Managers (PBMs) take effect in 2027, requiring them to disclose retained revenue and rebates, potentially lowering out-of-pocket drug costs for beneficiaries.
Expired
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