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Break Up Big Medicine Act: Prohibiting common ownership in healthcare

This bill bans health insurers and drug wholesalers from owning medical practices or hospitals to prevent conflicts of interest. It aims to lower costs and stop companies from steering patients toward their own doctors and pharmacies.
Key points
Separation of insurers and providers: Insurance companies and pharmacy benefit managers can no longer own doctor offices or hospitals.
Wholesaler restrictions: Companies that distribute drugs and medical devices are prohibited from owning medical service providers.
Mandatory divestment: Large corporations have one year to sell off conflicting business parts or face heavy fines.
Right to sue: Patients can take legal action against companies that violate these rules and may receive triple damages.
Increased competition: The goal is to stop 'self-preferencing,' where insurers force patients to use their own high-cost services.
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Status: Introduced
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Additional Information
Print number: 119_S_3822
Sponsor: Sen. Warren, Elizabeth [D-MA]
Process start date: 2026-02-10