HR950119th CongressWALLET

Saving Seniors Money on Prescriptions Act

Sponsored By: Representative Landsman

Introduced

Summary

Would force pharmacy benefit managers (PBMs) to disclose detailed drug prices, rebates, and cost calculations to Medicare Part D and Medicare Advantage prescription drug plans. It would create annual machine-readable reports, give plan sponsors audit rights, and set standards to make drug pricing and PBM practices more visible.

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

New Medicare PBM reporting and audits

If enacted, for plan years starting January 1, 2028, Medicare drug plans would require PBMs to sign written contracts with plan sponsors. The bill would define who counts as a PBM or affiliate for these rules. Each year, PBMs would give sponsors a machine-readable report by July 1 covering the prior plan year. Reports would list every drug, rebates, enrollee out-of-pocket totals, pharmacy reimbursement, and affiliate pharmacy shares. Sponsors could pick an auditor at least once a year and PBMs must give all records. PBMs would have to give initial audit information within six months and answer extra requests in 30 days, and reimburse sponsors for fines caused by PBM failures.

Sponsors & CoSponsors

Sponsor

Landsman

OH • D

Cosponsors

  • Harshbarger

    TN • R

    Sponsored 2/4/2025

  • Suozzi

    NY • D

    Sponsored 1/20/2026

Roll Call Votes

No roll call votes available for this bill.

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