# 119-s-1702: Access to Prescription Digital Therapeutics Act of 2025

119-s-1702, Access to Prescription Digital Therapeutics Act of 2025, is a 119th Congress bill sponsored by Sen. Capito, Shelley Moore [R-WV] (R-WV); status introduced; PRIA reads it as touching household money (as of 2026-07-25).

- Canonical: https://policyrisk.com/legislation/119-s-1702
- As of: 2026-07-25
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-1702
- Congress: 119
- Title: Access to Prescription Digital Therapeutics Act of 2025
- Status: introduced
- Introduced: 2025-05-08
- Sponsor: Sen. Capito, Shelley Moore [R-WV] (R-WV)
- Cosponsors: 4
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-07-25

## Summary

**This bill expands coverage for prescription digital therapeutics and sets rules for how they are paid, coded, and reported.** - Medicare beneficiaries gain coverage for prescription digital therapeutics furnished on or after January 1, 2026. The Centers for Medicare & Medicaid Services must set a payment methodology within one year and create product-specific HCPCS codes within two years, using temporary codes until permanent ones exist. - Medicaid enrollees will have prescription digital therapeutics added to Medicaid’s list of covered items consistent with the bill’s PDT definition. - Manufacturers must annually report private payor payment rates, distribution volume, and user counts beginning January 1, 2026. Reported rates must include all discounts and concessions and are treated as confidential. Civil monetary penalties for failures or misrepresentations can reach $10,000 per day per violation.

## Cosponsors (4)

- Sen. Shaheen, Jeanne [D-NH] (D-NH), 2025-05-08T00:00:00.000Z
- Sen. Booker, Cory A. [D-NJ] (D-NJ), 2025-07-15T00:00:00.000Z
- Sen. Budd, Ted [R-NC] (R-NC), 2025-12-10T00:00:00.000Z
- Sen. Blackburn, Marsha [R-TN] (R-TN), 2026-06-16T00:00:00.000Z

## Provisions PRIA read

- Medicaid coverage for digital therapeutics: benefit, medium. If enacted, the bill would add prescription digital therapeutics to Medicaid's list of covered items and services upon enactment. That would make qualifying digital therapeutics eligible for Medicaid coverage, subject to state administration and existing Medicaid rules. Your out-of-pocket costs wou…
- Medicare coverage and payment for digital therapeutics: benefit, medium. If enacted, Medicare Part B would cover prescription digital therapeutics furnished on or after January 1, 2026. The bill would require HHS to set a payment method for manufacturers within one year. Payments could be a one-time amount or periodic amounts and must consider list prices, reported paym…
- Reporting rules for digital therapeutic makers: cost, low. If enacted, starting January 1, 2026 each maker of a Medicare-covered prescription digital therapeutic would have to report yearly to HHS. Reports would show payment rates paid by each private payor (including all discounts and rebates), volume by payor, and number of individual users. Reported inf…

## Related bills

- 119-s-5066: Health Equity and Accountability Act of 2026
- 119-s-4949: Water Resources Development Act of 2026
- 119-s-1241: Sanctioning Russia Act of 2025
- 119-s-1973: Treat and Reduce Obesity Act of 2025
- 119-s-1816: Improving Seniors’ Timely Access to Care Act of 2025
- 119-s-1289: 25th Anniversary of 9/11 Commemorative Coin Act

## Sources
- [119-s-1702 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/1702)

## Related
- [119-s-5066: Health Equity and Accountability Act of 2026](https://policyrisk.com/legislation/119-s-5066)
- [119-s-4949: Water Resources Development Act of 2026](https://policyrisk.com/legislation/119-s-4949)
- [119-s-1241: Sanctioning Russia Act of 2025](https://policyrisk.com/legislation/119-s-1241)
- [119-s-1973: Treat and Reduce Obesity Act of 2025](https://policyrisk.com/legislation/119-s-1973)
- [119-s-1816: Improving Seniors’ Timely Access to Care Act of 2025](https://policyrisk.com/legislation/119-s-1816)
- [119-s-1289: 25th Anniversary of 9/11 Commemorative Coin Act](https://policyrisk.com/legislation/119-s-1289)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-1702 (as of 2026-07-25).
