S527119th CongressWALLET

Prescription Pricing for the People Act of 2025

Sponsored By: Senator Chuck Grassley

In Committee

Summary

Transparency and scrutiny of pharmacy benefit managers and the prescription drug supply chain. This bill would require the Federal Trade Commission to study PBM pricing, ownership ties, data use, formulary design, mergers, and sole-source drug manufacturer complaints and to deliver findings and recommendations to Congress.

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  • Families and consumers: Would produce information on whether PBMs charge payers more than the rates they reimburse pharmacies and whether formularies push patients toward higher-cost drugs, which could inform future consumer protections.
  • Pharmacies: Would investigate whether PBMs steer patients to pharmacies they own and whether PBMs audit or use proprietary data from non‑owned pharmacies for competitive gain, a review that could shape rules on ownership and data access.
  • Payers and employers: Would analyze how intermediaries and pharmacy services administrative organizations affect contracting choices and whether payers need more transparency when selecting partners.
  • Policymakers and regulators: Would require an interim report within 180 days and a full report within 1 year, plus policy and legislative recommendations and a review of legal obstacles to antitrust and consumer enforcement.

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Bill Overview

Analyzed Economic Effects

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

FTC study of prescription drug middlemen

This bill would require the Federal Trade Commission to study pharmacy benefit managers and other drug supply middlemen. An interim report would be due 180 days after enactment. A full report would be due not later than 1 year after enactment. The reports would check if PBMs charge payers more than they reimburse pharmacies, steer patients to pharmacies they own, use unaffiliated pharmacies' data to gain advantage, or design formularies to favor higher-cost drugs net of rebates. The reports must also describe competition trends, legal or regulatory obstacles to enforcement, and planned FTC actions and recommendations. The bill would also require a separate FTC report on complaints about sole-source drug makers, including the number and nature of complaints, the FTC's ability to bring enforcement, and policy or legislative recommendations. The bill would define "appropriate committees" as the House and Senate Judiciary Committees and "Commission" as the Federal Trade Commission.

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Sponsors & CoSponsors

Sponsor

Chuck Grassley

IA • R

Cosponsors

  • Maria Cantwell

    WA • D

    Sponsored 2/11/2025

  • Roger Marshall

    KS • R

    Sponsored 2/11/2025

  • Peter Welch

    VT • D

    Sponsored 2/11/2025

  • Tommy Tuberville

    AL • R

    Sponsored 2/11/2025

  • Christopher Coons

    DE • D

    Sponsored 2/11/2025

  • Thomas Tillis

    NC • R

    Sponsored 2/11/2025

  • Richard Blumenthal

    CT • D

    Sponsored 2/11/2025

  • Shelley Capito

    WV • R

    Sponsored 2/11/2025

  • Mazie Hirono

    HI • D

    Sponsored 2/11/2025

  • James Lankford

    OK • R

    Sponsored 2/11/2025

  • John Boozman

    AR • R

    Sponsored 4/2/2025

  • Marsha Blackburn

    TN • R

    Sponsored 4/7/2025

  • Raphael Warnock

    GA • D

    Sponsored 7/9/2025

Roll Call Votes

No roll call votes available for this bill.

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