# 119-hr-1142: To amend the Public Health Service Act to direct the Secretary of Health and Human Services to establish drug adherence guidelines, and for other purposes.

119-hr-1142, To amend the Public Health Service Act to direct the Secretary of Health and Human Services to establish drug adherence guidelines, and for other purposes., is a 119th Congress bill sponsored by Rep. Schweikert, David [R-AZ-1] (R-AZ); status introduced; PRIA reads it as touching household money (as of 2025-12-21).

- Canonical: https://policyrisk.com/legislation/119-hr-1142
- As of: 2025-12-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-1142
- Congress: 119
- Title: To amend the Public Health Service Act to direct the Secretary of Health and Human Services to establish drug adherence guidelines, and for other purposes.
- Status: introduced
- Introduced: 2025-02-07
- Sponsor: Rep. Schweikert, David [R-AZ-1] (R-AZ)
- Cosponsors: 0
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2025-12-21

## Summary

**90% medication adherence target for Medicare drugs.** This bill would require the Centers for Medicare & Medicaid Services to create drug adherence guidelines aimed at achieving a 90% adherence rate for Medicare Part B and Part D drugs, incorporate artificial intelligence and machine learning, and promote the use of generic and biosimilar drugs. - Medicare beneficiaries: Guidance targets a 90% adherence rate for Part B and Part D drugs, putting new focus on how patients are supported to take prescribed medicines. - Health systems, plans, and providers: CMS would be required to include artificial intelligence and machine learning in the guidance, which could lead stakeholders to adopt new monitoring and outreach tools. - Drug makers and pharmacies: The guidance must promote generics and biosimilars to the maximum extent practicable, encouraging broader use of those products.

## Provisions PRIA read

- Drug adherence guidelines for Medicare: benefit, medium. If enacted, HHS would set drug adherence guidelines for Medicare drugs. The goal would be 90% adherence for Part B and Part D drugs. The guidelines would use artificial intelligence and machine learning. They would promote generics and biosimilars when practical. People on Medicare could see better…

## Related bills

- 119-hr-7705: Tribal Tax and Investment Reform Act of 2026
- 119-hr-4895: Afghan Adjustment Act
- 119-hr-2025: Northeastern Arizona Indian Water Rights Settlement Act of 2025
- 119-hr-4206: CONNECT for Health Act of 2025
- 119-hr-3466: SMART Act
- 119-hr-7971: Taxpayer Experience Improvement Act

## Sources
- [119-hr-1142 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/1142)

## Related
- [119-hr-7705: Tribal Tax and Investment Reform Act of 2026](https://policyrisk.com/legislation/119-hr-7705)
- [119-hr-4895: Afghan Adjustment Act](https://policyrisk.com/legislation/119-hr-4895)
- [119-hr-2025: Northeastern Arizona Indian Water Rights Settlement Act of 2025](https://policyrisk.com/legislation/119-hr-2025)
- [119-hr-4206: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-hr-4206)
- [119-hr-3466: SMART Act](https://policyrisk.com/legislation/119-hr-3466)
- [119-hr-7971: Taxpayer Experience Improvement Act](https://policyrisk.com/legislation/119-hr-7971)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-1142 (as of 2025-12-21).
