Preserving Patient Access to Long-Term Care Pharmacies Act
Sponsored By: Representative Van Duyne
Introduced
Summary
Would create a temporary supply fee to preserve access to long-term care pharmacies. It would require Part D plan sponsors and Medicare Advantage drug plans to pay a per-prescription fee to long-term care pharmacies, set up a repayment subsidy, and require a GAO study of pharmacy payments and costs.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
Temporary Medicare fees for long-term care pharmacies
For plan years 2026–2027, Medicare drug plans would owe long‑term care pharmacies a supply fee for each specified prescription filled at the Medicare maximum fair price. The fee would be $30 in 2026 and would rise in 2027 by the annual percentage set in law. Plans would have to pay this at the same time as other reimbursements and could not reduce those other payments. Plans that do not pay would face a civil penalty of at least $10,000 per missed fee. To offset costs, the government would repay plans the total fees paid within 18 months after each plan year, on top of other Part D payments.
Sponsors & CoSponsors
Sponsor
Van Duyne
TX • R
Cosponsors
Schneider
IL • D
Sponsored 8/22/2025
Carter (GA)
GA • R
Sponsored 8/22/2025
Davids (KS)
KS • D
Sponsored 8/22/2025
Jack
GA • R
Sponsored 8/22/2025
Ross
NC • D
Sponsored 8/22/2025
Vindman
VA • D
Sponsored 9/11/2025
Steube
FL • R
Sponsored 9/18/2025
Harder (CA)
CA • D
Sponsored 9/19/2025
Comer
KY • R
Sponsored 10/3/2025
Gonzales, Tony
TX • R
Sponsored 10/14/2025
Gonzalez, V.
TX • D
Sponsored 10/24/2025
Miller (WV)
WV • R
Sponsored 10/28/2025
Fischbach
MN • R
Sponsored 10/28/2025
Sessions
TX • R
Sponsored 11/4/2025
Bice
OK • R
Sponsored 11/10/2025
Scholten
MI • D
Sponsored 11/10/2025
Taylor
OH • R
Sponsored 11/10/2025
Finstad
MN • R
Sponsored 11/10/2025
Mackenzie
PA • R
Sponsored 11/10/2025
Mannion
NY • D
Sponsored 11/12/2025
Davis (NC)
NC • D
Sponsored 11/12/2025
Barr
KY • R
Sponsored 11/17/2025
LaLota
NY • R
Sponsored 11/19/2025
Allen
GA • R
Sponsored 11/19/2025
Kiggans (VA)
VA • R
Sponsored 11/20/2025
Kelly (PA)
PA • R
Sponsored 12/2/2025
Stauber
MN • R
Sponsored 12/2/2025
Wittman
VA • R
Sponsored 12/2/2025
Vasquez
NM • D
Sponsored 12/9/2025
Rogers (KY)
KY • R
Sponsored 12/10/2025
Van Orden
WI • R
Sponsored 12/10/2025
LaHood
IL • R
Sponsored 12/17/2025
Hinson
IA • R
Sponsored 1/6/2026
Feenstra
IA • R
Sponsored 1/8/2026
McGuire
VA • R
Sponsored 1/8/2026
Landsman
OH • D
Sponsored 1/23/2026
Riley (NY)
NY • D
Sponsored 1/23/2026
Rogers (AL)
AL • R
Sponsored 1/23/2026
Lee (NV)
NV • D
Sponsored 3/5/2026
Bell
MO • D
Sponsored 3/12/2026
Owens
UT • R
Sponsored 3/26/2026
Evans (CO)
CO • R
Sponsored 3/26/2026
Roll Call Votes
No roll call votes available for this bill.
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