PBM Reform Act of 2025

[Congressional Bills 119th Congress] [From the U.S. Government Publishing Office] [H.R. 4317 Introduced in House (IH)] <DOC> 119th CONGRESS 1st Session H. R. 4317 To assure pharmacy access and choice for Medicare beneficiaries, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES July 10, 2025 Mr. Carter of Georgia (for himself, Mrs. Dingell, Mr. Murphy, Ms. Ross, Mr. Arrington, Mrs. Harshbarger, Mr. Vicente Gonzalez of Texas, Mr. Allen, Mr. Krishnamoorthi, Mr. Rose, Mr. Tran, and Ms. Malliotakis) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Workforce, and Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned _______________________________________________________________________ A BILL To assure pharmacy access and choice for Medicare beneficiaries, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE. This Act may be cited as the ``Pharmacy Benefit Manager Reform Act of 2025'' or the ``PBM Reform Act of 2025''. SEC. 2. ASSURING PHARMACY ACCESS AND CHOICE FOR MEDICARE BENEFICIARIES. (a) In General.--Section 1860D-4(b)(1) of the Social Security Act (42 U.S.C. 1395w-104(b)(1)) is amended by striking subparagraph (A) and inserting the following: ``(A) In general.-- ``(i) Participation of any willing pharmacy.--A PDP sponsor offering a prescription drug plan shall permit any pharmacy that meets the standard contract terms and conditions under such plan to participate as a network pharmacy of such plan. ``(ii) Contract terms and conditions.-- ``(I) In general.--Notwithstanding any other provision of law, for plan years beginning on or after January 1, 2029, in accordanc