Jake Auchincloss (D-MA)
Pharmacists Fight Back [in Federal Employee Health Benefit Plans Act]
A Democratic bill with 28 Republican cosponsors · See all 47 cosponsors
Last activity — Ordered to be Reported (Amended) by the Yeas and Nays: 40 - 2.
Introduced, nothing more yet
Formally proposed, and not yet handed to a committee.
Nearly every bill is sent to a committee within days. Introduction alone is not a sign of support, of momentum, or of any likelihood of passing — any member may introduce any bill.
Its path through Congress
- Introduced
What this bill would do
This bill sets new rules for pharmacy benefit managers that handle prescription drug benefits for federal employee health plans. It requires these managers to pay in-network pharmacies a fair amount for drugs and dispensing fees. The legislation also forces managers to pass manufacturer rebates directly to patients at the checkout counter to lower their costs. Additionally, it bans managers from forcing patients to use specific favored pharmacies or charging pharmacies hidden fees. Finally, the bill establishes fines and potential bans for pharmacy benefit managers that break these rules.
Yes· 3 of 6
- Scored +8
Does this lower the price of prescription medicines?
The bill significantly lowers out-of-pocket costs for beneficiaries by mandating that manufacturer rebates reduce copayments at the point of sale.
- Scored +7
Does this give people more protection from unfair business practices?
The bill increases consumer protection by requiring pharmacy benefit managers to pass manufacturer rebates directly to the individual at the point of sale.
- Scored +5
Does this make it easier to run a small business?
The bill provides fairer reimbursement and more stable professional fees for local pharmacies.
The opposite
- Scored -5
Would billionaires be better off under this?
Pharmacy benefit managers face increased regulation and potential financial penalties.
Who it would affect, and how
Potential Positive Impacts for People
-
Lower out-of-pocket costs at the pharmacy: Section 2(a) requires pharmacy benefit managers to use manufacturer rebates to directly lower the coinsurance or copayment owed by a patient at the point of sale. This means everyday people will pay less money out of their own pockets when picking up their prescriptions.
-
Fair pay and survival for local pharmacies: Section 2(a) ensures that in-network pharmacies are reimbursed fairly for the actual cost of drugs plus a professional dispensing fee, and it bans managers from clawing back money with post-adjudication fees. This helps protect local and independent pharmacies from unfair financial squeezes.
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Freedom to choose your pharmacy: Section 2(a) prohibits pharmacy benefit managers from forcing patients to use specific mail-order or affiliated pharmacies. This gives individuals the freedom to fill their prescriptions at any in-network pharmacy they prefer without being penalized.
Potential Negative Impacts for People
- Potential administrative delays or disruptions: Section 2(b) allows the government to heavily penalize or even ban pharmacy benefit managers that repeatedly break the rules. While holding bad actors accountable is important, these severe penalties and transitions could temporarily disrupt prescription processing for federal employees if a major manager is forced out of the program.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Tap or hover a score for the reason it gave.
- Economy And Finance
- Does this give people more protection from unfair business practices? — The bill increases consumer protection by requiring pharmacy benefit managers to pass manufacturer rebates directly to the individual at the point of sale. Does this make it easier to run a small business? — The bill provides fairer reimbursement and more stable professional fees for local pharmacies.
- Healthcare
- Does this lower the price of prescription medicines? — The bill significantly lowers out-of-pocket costs for beneficiaries by mandating that manufacturer rebates reduce copayments at the point of sale.
- Demographic And Interest Groups
- Would business owners be better off under this? — Pharmacy owners benefit from standardized and guaranteed reimbursement rates. Would middle-income households be better off under this? — Federal employees, often middle class, will see reduced out-of-pocket drug costs. Would billionaires be better off under this? — Pharmacy benefit managers face increased regulation and potential financial penalties.
- Governance And Ideology
- Does this give the federal government more power? — The bill expands federal oversight of pharmacy benefits managers through the Office of Personnel Management.
- 10/29/2026
- 1 Cosponsor added.
- 10/1/2026
- 1 Cosponsor added.
- 9/24/2026
- 1 Cosponsor added.
- 9/16/2026
- 2 Cosponsors added.
- 8/27/2026
- 1 Cosponsor added.
- 8/24/2026
- 1 Cosponsor added.
- 8/3/2026
- 1 Cosponsor added.
- 7/22/2026
- Committee Consideration and Mark-up Session Held
- Ordered to be Reported (Amended) by the Yeas and Nays: 40 - 2.
- 7/20/2026
- 2 Cosponsors added.
- 7/9/2026
- 1 Cosponsor added.
- 7/6/2026
- 1 Cosponsor added.
- 6/3/2026
- 1 Cosponsor added.
- 5/14/2026
- 1 Cosponsor added.
- 5/4/2026
- 1 Cosponsor added.
- 4/21/2026
- 1 Cosponsor added.
- 4/14/2026
- 2 Cosponsors added.
- 2/9/2026
- 1 Cosponsor added.
- 2/4/2026
- 1 Cosponsor added.
- 1/30/2026
- 1 Cosponsor added.
- 1/9/2026
- 2 Cosponsors added.
- 1/7/2026
- 5 Cosponsors added.
- 12/23/2025
- 1 Cosponsor added.
- 12/11/2025
- Referred to the House Committee on Oversight and Government Reform.
- 18 Cosponsors added.
- Introduced in House
Robert AderholtRepublican · Alabama
Yassamin AnsariDemocrat · Arizona
Sanford BishopDemocrat · Georgia
Jack BergmanRepublican · Michigan
Tim BurchettRepublican · Tennessee
Nikki BudzinskiDemocrat · Illinois
Robert BresnahanRepublican · Pennsylvania
Steve CohenDemocrat · Tennessee
Eric CrawfordRepublican · Arkansas
Earl CarterRepublican · Georgia
James ComerRepublican · Kentucky
Andrew ClydeRepublican · Georgia
Juan CiscomaniRepublican · Arizona
Christopher DeluzioDemocrat · Pennsylvania
Monica De La CruzRepublican · Texas
Mike EzellRepublican · Mississippi
Charles FleischmannRepublican · Tennessee
Maxwell FrostDemocrat · Florida
Shomari FiguresDemocrat · Alabama
Vicente GonzalezDemocrat · Texas
Michael GuestRepublican · Mississippi
Adelita GrijalvaDemocrat · Arizona
Diana HarshbargerRepublican · Tennessee
Trent KellyRepublican · Mississippi
Ro KhannaDemocrat · California
Raja KrishnamoorthiDemocrat · Illinois
Nicholas LangworthyRepublican · New York
Tracey MannRepublican · Kansas
Betty McCollumDemocrat · Minnesota
Seth MoultonDemocrat · Massachusetts
Barry MooreRepublican · Alabama
Richard McCormickRepublican · Georgia
Morgan McGarveyDemocrat · Kentucky
Celeste MaloyRepublican · Utah
Mark PocanDemocrat · Wisconsin
Gary PalmerRepublican · Alabama
Ayanna PressleyDemocrat · Massachusetts
Harold RogersRepublican · Kentucky
Mike RogersRepublican · Alabama
Pete SessionsRepublican · Texas
Austin ScottRepublican · Georgia
Dale StrongRepublican · Alabama
Suhas SubramanyamDemocrat · Virginia
Bennie ThompsonDemocrat · Mississippi
Rashida TlaibDemocrat · Michigan
Joe WilsonRepublican · South Carolina
Bruce WestermanRepublican · Arkansas