# 119-s-3159: Preserving Patient Access to Long-Term Care Pharmacies Act

119-s-3159, Preserving Patient Access to Long-Term Care Pharmacies Act, is a 119th Congress bill sponsored by Sen. Lankford, James [R-OK] (R-OK); status introduced; PRIA reads it as touching household money (as of 2026-04-30).

- Canonical: https://policyrisk.com/legislation/119-s-3159
- As of: 2026-04-30
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-3159
- Congress: 119
- Title: Preserving Patient Access to Long-Term Care Pharmacies Act
- Status: introduced
- Introduced: 2025-11-07
- Sponsor: Sen. Lankford, James [R-OK] (R-OK)
- Cosponsors: 4
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-04-30

## Summary

**Temporarily creates a per-prescription supply fee to keep long-term care pharmacies operating.** The fee requires Medicare Part D plan sponsors and Medicare Advantage prescription drug plans to pay long-term care pharmacies $30 per specified prescription in plan year 2026 and an inflation-adjusted amount in plan year 2027. - Long-term care pharmacies: Receive a $30 per-prescription supply fee in 2026 and a 2027 fee tied to the Part D annual increase. Payments must occur with other reimbursements and cannot reduce ingredient costs or dispensing fees. - Plan sponsors and MA organizations: Must pay the fee when reimbursing LTC pharmacies and face a civil money penalty of at least $10,000 per failure. Sponsors are eligible for repayment subsidies equal to the aggregate supply fees they paid, with payments due no later than 18 months after the plan year ends. - Patients and policymakers: Aims to preserve access to LTC pharmacy services, including in rural markets. The bill also requires a Government Accountability Office report within 12 months analyzing pharmacy ingredient costs, dispensing fees, network performance criteria, payment changes over the prior five years, and recommendations for a sustainable payment system.

## Cosponsors (4)

- Rep. Mullin, Markwayne [R-OK-2] (R-OK), 2025-11-07T00:00:00.000Z
- Sen. Blackburn, Marsha [R-TN] (R-TN), 2026-02-25T00:00:00.000Z
- Sen. Hyde-Smith, Cindy [R-MS] (R-MS), 2026-04-14T00:00:00.000Z
- Sen. Capito, Shelley Moore [R-WV] (R-WV), 2026-04-28T00:00:00.000Z

## Provisions PRIA read

- New fee for long-term care pharmacies: benefit, low. This bill would require Medicare drug plan sponsors to pay a per-prescription supply fee to long‑term care pharmacies for plan years 2026 and 2027. The fee would be $30 per covered "specified prescription" in 2026 and would increase in 2027 by the yearly percent set in statute. Plans must pay the f…

## Related bills

- 119-s-1748: Kids Online Safety Act
- 119-s-3752: SAVE America Act
- 119-s-4744: Take Care of America’s Veterans Act
- 119-s-1241: Sanctioning Russia Act of 2025
- 119-s-401: Fair Access to Banking Act
- 119-s-84: Sarah's Law

## Sources
- [119-s-3159 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/3159)

## Related
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [119-s-3752: SAVE America Act](https://policyrisk.com/legislation/119-s-3752)
- [119-s-4744: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-s-4744)
- [119-s-1241: Sanctioning Russia Act of 2025](https://policyrisk.com/legislation/119-s-1241)
- [119-s-401: Fair Access to Banking Act](https://policyrisk.com/legislation/119-s-401)
- [119-s-84: Sarah's Law](https://policyrisk.com/legislation/119-s-84)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-3159 (as of 2026-04-30).