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Temporary Financial Support for Long-Term Care Pharmacies to Ensure Patient Access.

This bill introduces a temporary supply fee (starting at $30 in 2026) paid by Medicare Part D plans to long-term care pharmacies. The goal is to stabilize the finances of these specialized pharmacies, ensuring that patients in long-term care facilities maintain uninterrupted access to necessary medications and services. The federal government will fully reimburse the insurance plans for these fees.
Key points
Long-term care pharmacies will receive an extra fee for dispensing specific drugs to Medicare patients during 2026 and 2027.
The change is designed to protect patient access to medications in long-term care settings, particularly following the implementation of new drug price negotiation rules.
The government mandates a study to assess the long-term financial health of these pharmacies and recommend sustainable payment solutions.
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Status: Introduced
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Additional Information
Print number: 119_HR_5031
Sponsor: Rep. Van Duyne, Beth [R-TX-24]
Process start date: 2025-08-22