Seniors’ Access to Critical Medications Act of 2025

Expanded Drug Access via Physician Practices: The bill creates an exception to the physician self-referral prohibition, which allows certain outpatient prescription drugs to be dispensed directly by a physician, a member of the same group practice, or someone supervised by the physician (Section 2(a)).

Convenient Delivery Options: Under the new exception, drugs can be obtained through in-person pickup by the individual, a caregiver, or a family member, or through mail, delivery, or courier services (Section 2(a)(iv)).

Continuity of Care: The provision requires an ongoing relationship and at least one face-to-face, in-person encounter with the physician or group practice within a one-year period before the drugs are dispensed (Section 2(a)(ii)-(iii)).

Potential Conflicts of Interest: The bill recognizes that physician-led dispensing arrangements may pose potential conflicts of interest that could influence prescribing decisions or patterns (Section 2(b)(1)(C)).

Reduction in Medicare Improvement Fund: The amendment reduces the amount listed in the Medicare Improvement Fund from $1,804,000,000 to $1,786,000,000 (Section 3).