S. 927 — Protecting Pharmacies in Medicaid Act

Civixly topics

What this legislation is about

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Health

Official CRS policy area

Health

Bill Summary

Protecting Pharmacies in Medicaid Act

This bill provides funds beginning in FY2026 for the Centers for Medicare & Medicaid Services to survey retail and non-retail pharmacies (e.g., mail-order pharmacies) to determine average prices of covered outpatient drugs under Medicaid. Pharmacies that fail to participate in the surveys are subject to civil penalties.

The bill additionally provides funds for FY2026 for the Office of the Inspector General of the Department of Health and Human Services to study the results of the survey and report accordingly to Congress.

The bill also requires pass-through pricing models, and prohibits spread-pricing, for payment arrangements with pharmacy benefit managers under Medicaid.

Committee activity

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senateStanding

Finance Committee

Official committee record ↗

Referred ToMar 11, 2025

Amendments

Proposed changes to this measure, with their latest official outcome or action from Congress.gov.

No amendments are listed for this measure.

Checked against Congress.gov Sep 12, 2026.

Related and companion legislation

Measures identified by Congress, the House, the Senate, or CRS as companions, identical bills, or otherwise related legislation.

S. 891Related bill

Bipartisan Health Care Act

Latest action: Mar 6, 2025 — Read twice and referred to the Committee on Finance.

Relationship identified by CRS.

View on Civixly Congress.gov ↗

H.R. 1768Related bill

Lower Costs for Everyday Americans Act

Latest action: Mar 3, 2025 — Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, the Budget, the Judiciary, and Education and Workforce, 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.

Relationship identified by CRS.

View on Civixly Congress.gov ↗

Action timeline

Newest action first. Action language comes from the official Congress.gov record.

View full action timeline2 actions

Mar 11, 2025
Read twice and referred to the Committee on Finance.
IntroReferralSenate
Mar 11, 2025
Introduced in Senate
IntroReferralLibrary of Congress

Roll-call votes

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No connected roll-call votes are currently available for this bill.