# 119-s-4106: Rx ACCESS Act

119-s-4106, Rx ACCESS Act, is a 119th Congress bill sponsored by Sen. Cotton, Tom [R-AR] (R-AR); status introduced; PRIA reads it as touching household money (as of 2026-07-23).

- Canonical: https://policyrisk.com/legislation/119-s-4106
- As of: 2026-07-23
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-4106
- Congress: 119
- Title: Rx ACCESS Act
- Status: introduced
- Introduced: 2026-03-17
- Sponsor: Sen. Cotton, Tom [R-AR] (R-AR)
- Cosponsors: 5
- Policy area: Armed Forces and National Security
- Touches household money: yes
- Last recorded action: 2026-07-23

## Summary

**The Rx ACCESS Act would reshape TRICARE pharmacy rules to make retail pharmacies get paid more predictably and to expand how beneficiaries can get maintenance medications.** It focuses on **cost‑based reimbursements for retail pharmacies** and stronger audits of pharmacy networks. - Families and beneficiaries: The bill changes election language covering Oct 1, 2015 to Oct 1, 2026 and, beginning Oct 1, 2026, would let eligible TRICARE beneficiaries elect to receive non‑generic maintenance medications through alternative delivery options described in the statute. - Retail pharmacies: Contracts administering TRICARE pharmacy benefits would have to reimburse a retail pharmacy at least the pharmacy's actual acquisition cost or a CMS national average acquisition cost proxy plus a professional dispensing fee equal to the state Medicaid (title XIX) fee. Contractors would be prohibited from charging point‑of‑sale, retroactive, or other hidden fees. - Oversight and Defense Department duties: The Comptroller General would perform not‑less‑than annual audits of reimbursement data, price concessions, and the adequacy and retail network including rural and underserved areas and whether beneficiary choices reflect preference. The Secretary of Defense must provide Congress a plan to implement these provisions within 90 days of enactment.

## Cosponsors (5)

- Sen. Kaine, Tim [D-VA] (D-VA), 2026-03-17T00:00:00.000Z
- Sen. Capito, Shelley Moore [R-WV] (R-WV), 2026-03-24T00:00:00.000Z
- Sen. King, Angus S., Jr. [I-ME] (I-ME), 2026-04-13T00:00:00.000Z
- Sen. Rounds, Mike [R-SD] (R-SD), 2026-06-16T00:00:00.000Z
- Sen. Markey, Edward J. [D-MA] (D-MA), 2026-07-21T00:00:00.000Z

## Provisions PRIA read

- More choice for TRICARE prescriptions: mixed, medium. If enacted, beginning on October 1, 2026, eligible TRICARE beneficiaries would be able to elect to get non-generic maintenance prescriptions by any delivery or dispensing method listed in the statute. The bill would also say the earlier refill-election period that began on October 1, 2015 ends on O…
- New pharmacy pay and fee rules: mixed, medium. If enacted, contractors that run the TRICARE pharmacy program would have to reimburse certain retail pharmacies at least the pharmacy's actual drug acquisition cost (or a CMS national average proxy when listed) plus a professional dispensing fee equal to the State Medicaid dispensing fee. Contracto…

## Related bills

- 119-s-1241: Sanctioning Russia Act of 2025
- 119-s-1261: CONNECT for Health Act of 2025
- 119-s-1032: Major Richard Star Act
- 119-s-1547: America the Beautiful Act
- 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.

## Sources
- [119-s-4106 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/4106)

## Related
- [119-s-1241: Sanctioning Russia Act of 2025](https://policyrisk.com/legislation/119-s-1241)
- [119-s-1261: CONNECT for Health Act of 2025](https://policyrisk.com/legislation/119-s-1261)
- [119-s-1032: Major Richard Star Act](https://policyrisk.com/legislation/119-s-1032)
- [119-s-1547: America the Beautiful Act](https://policyrisk.com/legislation/119-s-1547)
- [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)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-4106 (as of 2026-07-23).