# 119-s-3345: PBM Price Transparency and Accountability Act

119-s-3345, PBM Price Transparency and Accountability Act, is a 119th Congress bill sponsored by Sen. Crapo, Mike [R-ID] (R-ID); status introduced; PRIA reads it as touching household money (as of 2026-08-12).

- Canonical: https://policyrisk.com/legislation/119-s-3345
- As of: 2026-08-12
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-3345
- Congress: 119
- Title: PBM Price Transparency and Accountability Act
- Status: introduced
- Introduced: 2025-12-04
- Sponsor: Sen. Crapo, Mike [R-ID] (R-ID)
- Cosponsors: 27
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-08-12

## Summary

**Holds pharmacy benefit managers to new accountability standards and forces drug price transparency across Medicaid and Medicare Part D.** The bill would set national monthly benchmarks for pharmacy acquisition costs, ban spread pricing for federal Medicaid matching, and impose broad PBM reporting, audit, disgorgement, and governance rules.

## Cosponsors (27)

- Sen. Wyden, Ron [D-OR] (D-OR), 2025-12-04T00:00:00.000Z
- Sen. Grassley, Chuck [R-IA] (R-IA), 2025-12-04T00:00:00.000Z
- Sen. Bennet, Michael F. [D-CO] (D-CO), 2025-12-04T00:00:00.000Z
- Sen. Cornyn, John [R-TX] (R-TX), 2025-12-04T00:00:00.000Z
- Sen. Warner, Mark R. [D-VA] (D-VA), 2025-12-04T00:00:00.000Z
- Sen. Thune, John [R-SD] (R-SD), 2025-12-04T00:00:00.000Z
- Sen. Whitehouse, Sheldon [D-RI] (D-RI), 2025-12-04T00:00:00.000Z
- Sen. Cassidy, Bill [R-LA] (R-LA), 2025-12-04T00:00:00.000Z
- Sen. Hassan, Margaret Wood [D-NH] (D-NH), 2025-12-04T00:00:00.000Z
- Sen. Lankford, James [R-OK] (R-OK), 2025-12-04T00:00:00.000Z
- Sen. Cortez Masto, Catherine [D-NV] (D-NV), 2025-12-04T00:00:00.000Z
- Sen. Daines, Steve [R-MT] (R-MT), 2025-12-04T00:00:00.000Z
- Sen. Smith, Tina [D-MN] (D-MN), 2025-12-04T00:00:00.000Z
- Sen. Barrasso, John [R-WY] (R-WY), 2025-12-04T00:00:00.000Z
- Sen. Luján, Ben Ray [D-NM] (D-NM), 2025-12-04T00:00:00.000Z
- Sen. Tillis, Thomas [R-NC] (R-NC), 2025-12-04T00:00:00.000Z
- Sen. Warnock, Raphael G. [D-GA] (D-GA), 2025-12-04T00:00:00.000Z
- Sen. Blackburn, Marsha [R-TN] (R-TN), 2025-12-04T00:00:00.000Z
- Sen. Welch, Peter [D-VT] (D-VT), 2025-12-04T00:00:00.000Z
- Sen. Marshall, Roger [R-KS] (R-KS), 2025-12-04T00:00:00.000Z
- Sen. Scott, Tim [R-SC] (R-SC), 2025-12-16T00:00:00.000Z
- Sen. Capito, Shelley Moore [R-WV] (R-WV), 2025-12-16T00:00:00.000Z
- Sen. Blunt Rochester, Lisa [D-DE] (D-DE), 2025-12-16T00:00:00.000Z
- Sen. Young, Todd [R-IN] (R-IN), 2025-12-16T00:00:00.000Z
- Sen. Risch, James E. [R-ID] (R-ID), 2026-01-05T00:00:00.000Z
- Sen. Heinrich, Martin [D-NM] (D-NM), 2026-01-28T00:00:00.000Z
- Sen. McCormick, David [R-PA] (R-PA), 2026-08-07T00:00:00.000Z

## Provisions PRIA read

- Funds and studies for PBM oversight: benefit, medium. If enacted, the bill would provide FY2026 funding to support PBM and Part D oversight: $113 million to CMS, $20 million to the HHS Inspector General, and $5 million for IG studies. It would also give $1 million to MedPAC for reporting. The bill would require the Government Accountability Office to…
- Medicaid pharmacy pay and surveys: mixed, high. If enacted, State Medicaid contracts would have to pay outpatient drug claims as pass-through ingredient cost plus a dispensing fee, and those payments would be passed in full to the pharmacy except for fraud or abuse reductions. The bill would ban spread pricing when states claim Federal Medicaid…
- New PBM reporting and audits: mixed, high. If enacted, PBMs would have to send detailed, drug-level annual reports to Part D plan sponsors and HHS starting in 2028. The bill would require PBMs to allow plan-selected audits at least once a year and to provide affiliate records and written CEO-level certifications. PBMs would generally not be…

## Related bills

- 119-s-1071: National Defense Authorization Act for Fiscal Year 2026
- 119-sres-913: A resolution relating to the death of the Honorable Nancy Kassebaum, former United States Senator for the State of Kansas.
- 119-sres-897: A resolution honoring the life, service, and legacy of the Honorable Jon Llewellyn Kyl, former Senator for the State of Arizona.
- 119-sres-801: A resolution honoring the life and legacy of the Honorable Lindsey Olin Graham, a Senator from the State of South Carolina.
- 119-sres-755: A resolution honoring the life of the Honorable Donald W. Riegle, Jr., former Senator for the State of Michigan.
- 119-sres-739: A resolution honoring the life and legacy of John Seymour, the late Senator for the State of California.

## Sources
- [119-s-3345 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/3345)

## Related
- [119-s-1071: National Defense Authorization Act for Fiscal Year 2026](https://policyrisk.com/legislation/119-s-1071)
- [119-sres-913: A resolution relating to the death of the Honorable Nancy Kassebaum, former Uni…](https://policyrisk.com/legislation/119-sres-913)
- [119-sres-897: A resolution honoring the life, service, and legacy of the Honorable Jon Llewel…](https://policyrisk.com/legislation/119-sres-897)
- [119-sres-801: A resolution honoring the life and legacy of the Honorable Lindsey Olin Graham,…](https://policyrisk.com/legislation/119-sres-801)
- [119-sres-755: A resolution honoring the life of the Honorable Donald W. Riegle, Jr., former S…](https://policyrisk.com/legislation/119-sres-755)
- [119-sres-739: A resolution honoring the life and legacy of John Seymour, the late Senator for…](https://policyrisk.com/legislation/119-sres-739)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-3345 (as of 2026-08-12).