# 119-s-4924: Preserving Patient Access Act

119-s-4924, Preserving Patient Access Act, is a 119th Congress bill sponsored by Sen. Rosen, Jacky [D-NV] (D-NV); status introduced; PRIA reads it as touching household money (as of 2026-07-17).

- Canonical: https://policyrisk.com/legislation/119-s-4924
- As of: 2026-07-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-4924
- Congress: 119
- Title: Preserving Patient Access Act
- Status: introduced
- Introduced: 2026-06-24
- Sponsor: Sen. Rosen, Jacky [D-NV] (D-NV)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-07-17

## Summary

**Protects patients from mid‑year network and formulary changes.** This bill adds rules so recent provider relationships and recent drug removals can trigger protections and enrollment options for Medicare and individual‑market enrollees. - Medicare Advantage enrollees: If you had an in‑person or telehealth visit with a provider in the prior two years and that provider was listed in‑network during the plan’s election period, the plan must treat that provider as out‑of‑network for the plan year. - Medicare Part D and MA–PD enrollees: A plan’s “negative formulary change” that affects a drug dispensed to you within the prior six months can be treated as a mid‑year formulary change, using the definition in 42 C.F.R. 423.100. - Individual market enrollees: If you were enrolled in another individual plan and that plan either (A) makes a listed provider you saw in the past two years out‑of‑network during the most recent open enrollment or (B) implements a negative formulary change affecting a drug dispensed or administered to you in the prior six months, you get a Special Enrollment Period to switch plans. All changes apply to plan years beginning on or after January 1, 2027.

## Cosponsors (1)

- Sen. Curtis, John R. [R-UT] (R-UT), 2026-06-24T00:00:00.000Z

## Provisions PRIA read

- Individual market mid-year switch: benefit, medium. If enacted, you would be able to change individual market plans mid-year if your current plan (the initial plan) loses a provider you saw in the past 2 years or drops a drug you used in the past 6 months. The provider trigger applies when the provider was listed in-network during the most recent op…
- Medicare mid-year network protections: benefit, medium. If enacted, Medicare Advantage enrollees would be treated as having a mid-year qualifying event if a provider you saw in the past 2 years who was listed as in-network during the plan's annual election period becomes out-of-network. If you are in Part D or an MA–PD plan, you would also be covered if…

## Related bills

- 119-s-3923: Weather Research and Forecasting Innovation Reauthorization Act of 2026
- 119-s-1541: SHIPS for America Act of 2025
- 119-s-5071: Children's Safe Welcome Act of 2026
- 119-s-554: United States-Israel Defense Partnership Act of 2025
- 119-s-3990: PrEP Access and Coverage Act of 2026
- 119-s-3612: Critical Mineral Mining Education Act of 2026

## Sources
- [119-s-4924 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/4924)

## Related
- [119-s-3923: Weather Research and Forecasting Innovation Reauthorization Act of 2026](https://policyrisk.com/legislation/119-s-3923)
- [119-s-1541: SHIPS for America Act of 2025](https://policyrisk.com/legislation/119-s-1541)
- [119-s-5071: Children's Safe Welcome Act of 2026](https://policyrisk.com/legislation/119-s-5071)
- [119-s-554: United States-Israel Defense Partnership Act of 2025](https://policyrisk.com/legislation/119-s-554)
- [119-s-3990: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-s-3990)
- [119-s-3612: Critical Mineral Mining Education Act of 2026](https://policyrisk.com/legislation/119-s-3612)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-4924 (as of 2026-07-17).