Seniors’ Access to Critical Medications Act of 2025

• Seniors and patients: Could get designated outpatient Part D drugs directly from a physician practice, in-person or by mail, if they had at least one face-to-face visit with the prescriber or a clinician in the same group in the prior year and maintain an ongoing relationship.
• Physicians and group practices: Would be able to dispense and bill for covered Part D drugs when the drug is prescribed by the referring physician or another clinician in the same group and is dispensed from specified locations or under physician supervision.
• Pharmacies and networks: Requires a GAO study due within three years to identify pharmacies or networks that increase Part D dispensing after enactment and to analyze ownership, integration with physician practices, contracting features, conflict-mitigation measures, and factors that may influence prescribing.

*Would reduce the Medicare Improvement Fund by about $18 million.*