HR5031119th CongressWALLET

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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