Ensuring Seniors Access to Local Pharmacies Act of 2019
Official title: To amend title XVIII of the Social Security Act to ensure equal access of Medicare beneficiaries to community pharmacies in underserved areas as network pharma… Show full official titleShow less
Official title: To amend title XVIII of the Social Security Act to ensure equal access of Medicare beneficiaries to community pharmacies in underserved areas as network pharmacies under Medicare prescription drug coverage, and for other purposes.
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Referred to the Subcommittee on Health.
Ensuring Seniors Access to Local Pharmacies Act of 2019
This bill establishes several requirements for prescription drug plans under the Medicare prescription drug benefit.
Specifically, the bill requires prescription drug plans to allow any pharmacy located in a health professional shortage area, a medically underserved area, or a rural area to be included as an in-network pharmacy if the plan already has other in-network pharmacies in the same area.
The bill also establishes certain standards for prescription drug plans regarding pharmacy reimbursements and related disclosures. Among other things, the bill prohibits prescription drug plans from reimbursing a pharmacy in an amount that is less than the amount the pharmacy benefits manager (PBM) reimburses an affiliated pharmacy (i.e., a pharmacy that has a shared ownership interest with the PBM) for the same services.
- Introduced in House Formatted Text PDF Formatted XML
Cite this page
U.S. Congress. (2026). H.R. 4946: Ensuring Seniors Access to Local Pharmacies Act of 2019. 116th Congress. Open America. https://openamerica.io/bill/116-HR-4946/
"H.R. 4946: Ensuring Seniors Access to Local Pharmacies Act of 2019." 116th Congress, 2026, Open America, https://openamerica.io/bill/116-HR-4946/.
H.R. 4946, 116th Cong. (2026), https://openamerica.io/bill/116-HR-4946/.
[H.R. 4946: Ensuring Seniors Access to Local Pharmacies Act of 2019](https://openamerica.io/bill/116-HR-4946/)