# 119-hr-10549: Patients Choice in Specialty Pharmacy Act

119-hr-10549, Patients Choice in Specialty Pharmacy Act, is a 119th Congress bill sponsored by Rep. Dunn, Neal P. [R-FL-2] (R-FL); status introduced; PRIA reads it as touching household money (as of 2026-09-30).

- Canonical: https://policyrisk.com/legislation/119-hr-10549
- As of: 2026-09-30
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-10549
- Congress: 119
- Title: Patients Choice in Specialty Pharmacy Act
- Status: introduced
- Introduced: 2026-09-24
- Sponsor: Rep. Dunn, Neal P. [R-FL-2] (R-FL)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-09-30

## Summary

**Guarantees patients can choose which specialty pharmacy fills their prescriptions.** This bill would bar health plans and issuers from steering enrollees to affiliated specialty pharmacies and would limit when plans can exclude qualified specialty pharmacies from networks. - Patients and families: Enrollees could not be forced or pushed to use an affiliated specialty pharmacy by higher copays, conditioned discounts, or added administrative delays when they pick a non‑affiliated specialty pharmacy. - Independent specialty pharmacies: Licensed specialty pharmacies that meet uniform network terms and accept the same reimbursement would generally have to be allowed into networks, subject to narrow exceptions for fraud, program exclusion, or imminent patient harm. - Plans, issuers, and PBMs: The steering and exclusion limits apply to insured group health plans and issuers but exclude self‑insured plans. The bill defines an "affiliated specialty pharmacy" to include pharmacies controlled by a plan or a pharmacy benefit manager and sets standards for what counts as a specialty pharmacy. Effective date: would apply to plan years beginning on or after January 1, 2029.

## Cosponsors (1)

- Rep. Wilson, Joe [R-SC-2] (R-SC), 2026-09-24T00:00:00.000Z

## Provisions PRIA read

- Protecting choice of specialty pharmacies: benefit, medium. If enacted, this bill would stop many insurers and plans (except self-insured group plans) from forcing you to use a plan-owned specialty pharmacy. Plans and issuers would be banned from steering you by raising your copay, charging more coinsurance or deductibles, offering discounts only if you use…

## Related bills

- 119-hr-4669: FEMA Act of 2025
- 119-hr-4393: DIGNIDAD (Dignity) Act of 2025
- 119-hr-2570: Maximum Pressure Act
- 119-hr-4317: PBM Reform Act of 2025
- 119-hr-833: Educational Choice for Children Act of 2025
- 119-hr-9211: Jewish American Security Act

## Sources
- [119-hr-10549 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/10549)

## Related
- [119-hr-4669: FEMA Act of 2025](https://policyrisk.com/legislation/119-hr-4669)
- [119-hr-4393: DIGNIDAD (Dignity) Act of 2025](https://policyrisk.com/legislation/119-hr-4393)
- [119-hr-2570: Maximum Pressure Act](https://policyrisk.com/legislation/119-hr-2570)
- [119-hr-4317: PBM Reform Act of 2025](https://policyrisk.com/legislation/119-hr-4317)
- [119-hr-833: Educational Choice for Children Act of 2025](https://policyrisk.com/legislation/119-hr-833)
- [119-hr-9211: Jewish American Security Act](https://policyrisk.com/legislation/119-hr-9211)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-10549 (as of 2026-09-30).