Streamlining Part D Appeals Process Act
Official title: To provide for the treatment of a pharmacy counter refusal as a coverage determination under Medicare part D.
Have a question about what this bill does? Ask in plain English; the answer is drawn from the bill's actual text and official record, and it'll tell you when something isn't in the text rather than guess.
Referred to the Subcommittee on Health.
Streamlining Part D Appeals Process Act
This bill allows a Medicare beneficiary to directly appeal a pharmacy's refusal to fill a prescription as a coverage determination under the Medicare prescription drug benefit.
Currently, if a pharmacy refuses to fill a prescription, the pharmacy provides the beneficiary with a notice explaining how to contact the beneficiary's prescription drug plan (PDP); the beneficiary must then obtain a written coverage determination (i.e., a decision denying coverage) from the PDP before initiating the appeals process.
- Introduced in House Formatted Text PDF Formatted XML
Cite this page
U.S. Congress. (2026). H.R. 3924: Streamlining Part D Appeals Process Act. 116th Congress. Open America. https://openamerica.io/bill/116-HR-3924/
"H.R. 3924: Streamlining Part D Appeals Process Act." 116th Congress, 2026, Open America, https://openamerica.io/bill/116-HR-3924/.
H.R. 3924, 116th Cong. (2026), https://openamerica.io/bill/116-HR-3924/.
[H.R. 3924: Streamlining Part D Appeals Process Act](https://openamerica.io/bill/116-HR-3924/)