Protecting Pharmacies in Medicaid Act
Official title: A bill to amend title XIX of the Social Security Act to ensure accurate payments to pharmacies under Medicaid and to prevent the use of abusive spread pricing practices under Medicaid.
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Read twice and referred to the Committee on Finance.
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.
- Introduced in Senate Formatted Text PDF Formatted XML
- EMERGENT STRATEGIES
- NATIONAL COMMUNITY PHARMACISTS ASSOCIATION
- CVS HEALTH (AND SUBSIDIARIES)
- FOOD MARKETPLACE INC.
- NATIONAL ASSOCIATION OF CHAIN DRUG STORES
- PHARMACEUTICAL CARE MANAGEMENT ASSOCIATION
Bodies those filers lobbied
- HOUSE OF REPRESENTATIVES
- SENATE
- Centers For Medicare and Medicaid Services (CMS)
- Health & Human Services, Dept of (HHS)
- White House Office
- Labor, Dept of (DOL)
- Food & Drug Administration (FDA)
- Justice, Dept of (DOJ)
Cite this page
U.S. Congress. (2026). S. 927: Protecting Pharmacies in Medicaid Act. 119th Congress. Open America. https://openamerica.io/bill/119-S-927/
"S. 927: Protecting Pharmacies in Medicaid Act." 119th Congress, 2026, Open America, https://openamerica.io/bill/119-S-927/.
S. 927, 119th Cong. (2026), https://openamerica.io/bill/119-S-927/.
[S. 927: Protecting Pharmacies in Medicaid Act](https://openamerica.io/bill/119-S-927/)