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.
Read twice and referred to the Committee on Finance.
Bill introduced
Lobbying filed by PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION
Lobbying filed by CVS HEALTH (AND SUBSIDIARIES)
Lobbying filed by NATIONAL ASSOCIATION OF CHAIN DRUG STORES
Lobbying filed by PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION
Lobbying filed by CVS HEALTH (AND SUBSIDIARIES)
Read twice and referred to the Committee on Finance.
| Registrant | Client | Amount | Filed | Period | Issues |
|---|---|---|---|---|---|
| PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION | PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION | $4.1M | Apr 21, 2025 | 2025Q1 | MMMHCRPHA |
| CVS HEALTH (AND SUBSIDIARIES) | CVS HEALTH (AND SUBSIDIARIES) | $3.5M | Apr 21, 2025 | 2025Q1 | PHATAXMMM |
| PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION | PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION | $3.4M | Jul 21, 2025 | 2025Q2 | MMMHCRPHA |
| CVS HEALTH (AND SUBSIDIARIES) | CVS HEALTH (AND SUBSIDIARIES) | $1.8M | Jul 21, 2025 | 2025Q2 | PHATAXMMM |
| NATIONAL ASSOCIATION OF CHAIN DRUG STORES | NATIONAL ASSOCIATION OF CHAIN DRUG STORES | $690.0K | Jul 18, 2025 | 2025Q2 | PHAMMMBUD |
| FOOD MARKETPLACE INC. | FOOD MARKETPLACE INC | $420.0K | Apr 21, 2025 | 2025Q1 | AGRCSPENV |
| NATIONAL ASSOCIATION OF CHAIN DRUG STORES | NATIONAL ASSOCIATION OF CHAIN DRUG STORES | $360.0K | Apr 18, 2025 | 2025Q1 | PHAMMMBUD |
| NATIONAL COMMUNITY PHARMACISTS ASSOCIATION | NATIONAL COMMUNITY PHARMACISTS ASSOCIATION | $350.0K | Jul 21, 2025 | 2025Q2 | ALCMMMPHA |
| NATIONAL COMMUNITY PHARMACISTS ASSOCIATION | NATIONAL COMMUNITY PHARMACISTS ASSOCIATION | $340.0K | Apr 21, 2025 | 2025Q1 | ALCMMMPHA |
| FOOD MARKETPLACE INC. | FOOD MARKETPLACE INC | $310.0K | Jul 21, 2025 | 2025Q2 | MONPHAAGR |
| EMERGENT STRATEGIES | PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION | $60.0K | Jul 21, 2025 | 2025Q2 | PHA |
| EMERGENT STRATEGIES | PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION | $60.0K | Apr 21, 2025 | 2025Q1 | PHA |
| INDEPENDENT PHARMACY COOPERATIVE | INDEPENDENT PHARMACY COOPERATIVE | $50.0K | Jul 17, 2025 | 2025Q2 | PHA |
| INDEPENDENT PHARMACY COOPERATIVE | INDEPENDENT PHARMACY COOPERATIVE | $40.0K | Apr 12, 2025 | 2025Q1 | PHA |
| FORBES-TATE | INDEPENDENT PHARMACY COOPERATIVE | $30.0K | Jul 18, 2025 | 2025Q2 | BUDHCRPHA |
| FORBES-TATE | INDEPENDENT PHARMACY COOPERATIVE | $30.0K | Apr 15, 2025 | 2025Q1 | HCRPHAMMM |
| CAROL G HOLLADAY & ASSOCIATES | SOUTHEAST GEORGIA HOSPITAL SYSTEM | $18.0K | Aug 20, 2025 | 2025Q2 | BUDHCRVET |
| CAROL G HOLLADAY & ASSOCIATES | SOUTHEAST GEORGIA HOSPITAL SYSTEM | $18.0K | Apr 21, 2025 | 2025Q1 | BUDHCRVET |
| WAKEFERN FOOD CORP. | WAKEFERN FOOD CORP. | Undisclosed | Jul 15, 2025 | 2025Q2 | PHALAWAGR |
| WAKEFERN FOOD CORP. | WAKEFERN FOOD CORP. | Undisclosed | Apr 14, 2025 | 2025Q1 | PHALAWAGR |
The lobbying table lists Senate LDA quarterly reports (LD-2) that cite this bill by number and cover a quarter of the 119th Congress. An LD-2 names a bill as “H.R. 1234” with no Congress, so a report on another Congress, which can only concern a different bill with the same number, is left out, even when it was filed after this Congress began. The amount is what the registrant reported for the whole filing, across every issue on it, not spending on this bill. Official actions and the bill summary come from Congress.gov, and votes from the roll-call record. This page no longer pairs the bill with members' stock trades: matching lobbying clients to traded companies by name, and trades to a bill by date, is not something the records establish.