# 119-hr-2214: DRUG Act

119-hr-2214, DRUG Act, is a 119th Congress bill sponsored by Rep. Miller-Meeks, Mariannette [R-IA-1] (R-IA); status introduced; PRIA reads it as touching household money (as of 2026-04-21).

- Canonical: https://policyrisk.com/legislation/119-hr-2214
- As of: 2026-04-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-2214
- Congress: 119
- Title: DRUG Act
- Status: introduced
- Introduced: 2025-03-18
- Sponsor: Rep. Miller-Meeks, Mariannette [R-IA-1] (R-IA)
- Cosponsors: 6
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-21

## Summary

**Delink PBM revenue from drug prices.** This bill would require pharmacy benefit managers (PBMs) to stop earning pay tied to drug prices, rebates, discounts, or other price-based remuneration. It would allow only flat, written "bona fide" service fees and take effect January 1, 2027. - Families and patients: Health plans could pass through rebates and discounts to lower net drug costs and patients may see lower out-of-pocket charges when plans use those savings. - Employers and health plans: Plans and employers could recover improper PBM payments because PBMs must disgorge unlawful remuneration to plans or insurers. Violations would trigger a $10,000 per day civil penalty. - PBMs and regulators: PBMs would need to switch to itemized flat fees not tied to price metrics. Federal agencies would enforce the rules across the Public Health Service Act, ERISA, and the Internal Revenue Code and issue interim final regulations.

## Cosponsors (6)

- Rep. Barragán, Nanette Diaz [D-CA-44] (D-CA), 2025-03-18T00:00:00.000Z
- Rep. Malliotakis, Nicole [R-NY-11] (R-NY), 2025-03-18T00:00:00.000Z
- Rep. Schneider, Bradley Scott [D-IL-10] (D-IL), 2025-03-18T00:00:00.000Z
- Rep. Allen, Rick W. [R-GA-12] (R-GA), 2025-03-18T00:00:00.000Z
- Rep. Norcross, Donald [D-NJ-1] (D-NJ), 2025-03-18T00:00:00.000Z
- Rep. Thanedar, Shri [D-MI-13] (D-MI), 2025-11-04T00:00:00.000Z

## Provisions PRIA read

- PBMs could only charge flat fees: benefit, medium. Starting January 1, 2027, PBMs for group or individual health plans would not be allowed to take pay for drug-benefit work, except a flat "bona fide service fee." The fee would have to be in a written deal, be a fixed dollar amount, and match fair market value for the service. It could not be tied,…
- More companies counted as PBMs: benefit, low. This bill would define a "pharmacy benefit manager" broadly. It would cover any company that negotiates drug prices or runs drug benefits for a plan, even through middlemen. Covered work includes formularies, claims, prior authorization, appeals, and pharmacy contracts. More firms would need to fol…
- Interim rules to implement PBM changes: mixed, low. Agencies would issue interim final rules to put these PBM changes into effect. They would consult Health and Human Services, Labor, and Treasury as required. This step shapes timing and enforcement but would not change your benefits by itself.

## Related bills

- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-4583: Living Donor Protection Act of 2025
- 119-hr-9237: Take Care of America’s Veterans Act
- 119-hr-4582: To amend the Family and Medical Leave Act of 1993 and title 5, United States Code, to clarify that organ donation surgery qualifies as a serious health conditi…
- 119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025

## Sources
- [119-hr-2214 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/2214)

## Related
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-4583: Living Donor Protection Act of 2025](https://policyrisk.com/legislation/119-hr-4583)
- [119-hr-9237: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-hr-9237)
- [119-hr-4582: To amend the Family and Medical Leave Act of 1993 and title 5, United States Co…](https://policyrisk.com/legislation/119-hr-4582)
- [119-hr-3514: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-hr-3514)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-2214 (as of 2026-04-21).