Streamlining Part D Appeals Process Act
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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.
Read twice and referred to the Committee on Finance.
- Introduced in Senate Formatted Text PDF Formatted XML
Cite this page
U.S. Congress. (2026). S. 1861: Streamlining Part D Appeals Process Act. 116th Congress. Open America. https://openamerica.io/bill/116-S-1861/
"S. 1861: Streamlining Part D Appeals Process Act." 116th Congress, 2026, Open America, https://openamerica.io/bill/116-S-1861/.
S. 1861, 116th Cong. (2026), https://openamerica.io/bill/116-S-1861/.
[S. 1861: Streamlining Part D Appeals Process Act](https://openamerica.io/bill/116-S-1861/)