# 119-hr-6400: Rx ACCESS Act

119-hr-6400, Rx ACCESS Act, is a 119th Congress bill sponsored by Rep. Kiggans, Jennifer A. [R-VA-2] (R-VA); status introduced; PRIA reads it as touching household money (as of 2026-09-21).

- Canonical: https://policyrisk.com/legislation/119-hr-6400
- As of: 2026-09-21
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-hr-6400
- Congress: 119
- Title: Rx ACCESS Act
- Status: introduced
- Introduced: 2025-12-03
- Sponsor: Rep. Kiggans, Jennifer A. [R-VA-2] (R-VA)
- Cosponsors: 18
- Policy area: Armed Forces and National Security
- Touches household money: yes
- Last recorded action: 2026-09-21

## Summary

**Would expand beneficiary choice and require fairer pay for TRICARE retail pharmacies.** This bill would let eligible TRICARE beneficiaries choose how to receive non-generic maintenance prescriptions and set new payment and audit rules for the TRICARE pharmacy program. - Beneficiaries: Eligible covered beneficiaries would be able to elect to receive non-generic prescription maintenance medications through any means described in paragraph (2)(E) beginning October 1, 2026. - Retail pharmacies: Reimbursement to TRICARE retail pharmacies would have to cover either the pharmacy's actual wholesale acquisition cost or a national average acquisition cost proxy and include a professional dispensing fee equal to the State's Medicaid dispensing fee. - Contractors and PBMs: Contractors administering the TRICARE pharmacy benefits program could not impose point-of-sale fees, retroactive fees, or other indirect or hidden fees on TRICARE retail pharmacies. - Oversight and access: The Comptroller General would conduct annual audits of reimbursement rates, price concessions, and the adequacy of the retail pharmacy network, including continuity of care and geographic access with special attention to rural and underserved areas. - Implementation: The Secretary of Defense would be required to submit an implementation plan to the congressional defense committees within 90 days of enactment and must ensure contractors provide information for audits.

## Cosponsors (18)

- Rep. Goodlander, Maggie [D-NH-2] (D-NH), 2025-12-03T00:00:00.000Z
- Rep. Luttrell, Morgan [R-TX-8] (R-TX), 2025-12-03T00:00:00.000Z
- Rep. Houlahan, Chrissy [D-PA-6] (D-PA), 2025-12-03T00:00:00.000Z
- Rep. Mills, Cory [R-FL-7] (R-FL), 2026-03-18T00:00:00.000Z
- Rep. Davis, Donald G. [D-NC-1] (D-NC), 2026-03-24T00:00:00.000Z
- Rep. Sorensen, Eric [D-IL-17] (D-IL), 2026-04-06T00:00:00.000Z
- Rep. Harris, Andy [R-MD-1] (R-MD), 2026-04-21T00:00:00.000Z
- Rep. Turner, Michael R. [R-OH-10] (R-OH), 2026-04-21T00:00:00.000Z
- Rep. Westerman, Bruce [R-AR-4] (R-AR), 2026-04-21T00:00:00.000Z
- Rep. Lee, Susie [D-NV-3] (D-NV), 2026-04-09T00:00:00.000Z
- Rep. Van Orden, Derrick [R-WI-3] (R-WI), 2026-04-21T00:00:00.000Z
- Del. Norton, Eleanor Holmes [D-DC-At Large] (D-DC), 2026-04-21T00:00:00.000Z
- Rep. Kennedy, Timothy M. [D-NY-26] (D-NY), 2026-04-28T00:00:00.000Z
- Rep. Pfluger, August [R-TX-11] (R-TX), 2026-04-30T00:00:00.000Z
- Rep. Langworthy, Nicholas A. [R-NY-23] (R-NY), 2026-05-15T00:00:00.000Z
- Rep. Gooden, Lance [R-TX-5] (R-TX), 2026-05-19T00:00:00.000Z
- Rep. Lawler, Michael [R-NY-17] (R-NY), 2026-06-25T00:00:00.000Z
- Rep. Wilson, Joe [R-SC-2] (R-SC), 2026-08-31T00:00:00.000Z

## Provisions PRIA read

- More choice for TRICARE refills: benefit, medium. If enacted, eligible TRICARE beneficiaries would be able to choose how to get non‑generic maintenance prescriptions. This choice would begin on October 1, 2026. One option would be getting these meds at TRICARE retail pharmacies.
- Better pay and no hidden fees for TRICARE pharmacies: benefit, medium. If enacted, TRICARE retail pharmacies would have a minimum reimbursement rule. Payments would cover the pharmacy's acquisition cost or a NADAC proxy and add a State Medicaid dispensing fee. The bill would also bar contractors from charging point‑of‑sale, retroactive, or hidden fees to those pharmac…
- Annual audits of TRICARE pharmacy program: benefit, low. If enacted, the Comptroller General would audit TRICARE pharmacy contractor data at least annually. Audits must check reimbursement rates, price concessions, and retail network access, including rural and underserved areas. The contractor would have to give GAO the needed information and results go…

## Related bills

- 119-hr-3151: SHIPS for America Act of 2025
- 119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage Act
- 119-hr-1262: Mikaela Naylon Give Kids a Chance Act
- 119-hr-9877: Health Equity and Accountability Act of 2026
- 119-hr-2102: Major Richard Star Act
- 119-hr-909: Crime Victims Fund Stabilization Act of 2025

## Sources
- [119-hr-6400 on Congress.gov](https://www.congress.gov/bill/119th-congress/house-bill/6400)

## Related
- [119-hr-3151: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-hr-3151)
- [119-hr-842: Nancy Gardner Sewell Medicare Multi-Cancer Early Detection Screening Coverage A…](https://policyrisk.com/legislation/119-hr-842)
- [119-hr-1262: Mikaela Naylon Give Kids a Chance Act](https://policyrisk.com/legislation/119-hr-1262)
- [119-hr-9877: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-hr-9877)
- [119-hr-2102: Major Richard Star Act](https://policyrisk.com/legislation/119-hr-2102)
- [119-hr-909: Crime Victims Fund Stabilization Act of 2025](https://policyrisk.com/legislation/119-hr-909)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-hr-6400 (as of 2026-09-21).