# 119-s-5586: Ensuring Accurate Payments to Specialty Pharmacies Act

119-s-5586, Ensuring Accurate Payments to Specialty Pharmacies Act, is a 119th Congress bill sponsored by Sen. Warner, Mark R. [D-VA] (D-VA); status introduced; PRIA reads it as touching household money (as of 2026-10-17).

- Canonical: https://policyrisk.com/legislation/119-s-5586
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: 119-s-5586
- Congress: 119
- Title: Ensuring Accurate Payments to Specialty Pharmacies Act
- Status: introduced
- Introduced: 2026-09-29
- Sponsor: Sen. Warner, Mark R. [D-VA] (D-VA)
- Cosponsors: 1
- Policy area: Health
- Touches household money: yes
- Last recorded action: 2026-10-17

## Summary

**Creates a national monthly price survey (a NADAC) for non-retail pharmacies, like mail-order and specialty shops, to build public acquisition-cost benchmarks and strengthen payment oversight.** - Non-retail pharmacies would have to report monthly prices and price concessions and could face civil monetary penalties for non-response or misreporting. Public data would include response rates and lists of non-compliant pharmacies. - Contracts and reports must identify pharmacy types and whether a pharmacy is owned or affiliated with a pharmacy benefit manager. The HHS Inspector General would study how related-party deals and PBM affiliations affect reported costs. - The survey would produce NADAC benchmarks to inform Medicaid payment policy for non-retail dispensing, with a rule that States may not use this non-retail data to set retail community pharmacy rates. The bill also funds oversight with a one-time $5 million appropriation for FY2027 and an added $9 million each year thereafter. *Would increase federal spending by about $5 million in FY2027 and roughly $9 million annually thereafter.*

## Cosponsors (1)

- Sen. Cassidy, Bill [R-LA] (R-LA), 2026-09-29T00:00:00.000Z

## Provisions PRIA read

- New rules for specialty and mail-order pharmacies: mixed, low. If enacted, HHS would run monthly surveys of state-licensed non-retail pharmacies (for example, specialty and mail-order) to produce national average drug acquisition cost benchmarks. States would have to require qualifying non-retail pharmacies that receive payments or discounts tied to Medicaid d…

## Related bills

- 119-s-4744: Take Care of America’s Veterans Act
- 119-s-4302: Improving IRS Customer Service Act
- 119-s-1748: Kids Online Safety Act
- 119-s-882: Patients Before Middlemen Act
- 119-s-3990: PrEP Access and Coverage Act of 2026
- 119-s-3940: Access to Fair Financing for Opportunity and Resilient Development Act

## Sources
- [119-s-5586 on Congress.gov](https://www.congress.gov/bill/119th-congress/senate-bill/5586)

## Related
- [119-s-4744: Take Care of America’s Veterans Act](https://policyrisk.com/legislation/119-s-4744)
- [119-s-4302: Improving IRS Customer Service Act](https://policyrisk.com/legislation/119-s-4302)
- [119-s-1748: Kids Online Safety Act](https://policyrisk.com/legislation/119-s-1748)
- [119-s-882: Patients Before Middlemen Act](https://policyrisk.com/legislation/119-s-882)
- [119-s-3990: PrEP Access and Coverage Act of 2026](https://policyrisk.com/legislation/119-s-3990)
- [119-s-3940: Access to Fair Financing for Opportunity and Resilient Development Act](https://policyrisk.com/legislation/119-s-3940)
- [All bills in Congress](https://policyrisk.com/legislation)

Source: PRIA, https://policyrisk.com/legislation/119-s-5586 (as of 2026-10-17).