Bill · H.R. 5031· House(119-HR-5031)
Preserving Patient Access to Long-Term Care Pharmacies Act
- Introduced
- 8/22/2025
- Last activity
- 8/22/2025 — Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- Sponsored by
- Beth Van Duyne
- Cosponsors
- - 32 - 14
- Introduced
- In Committee
What this bill would do
This bill, known as the Preserving Patient Access to Long-Term Care Pharmacies Act, aims to amend title XVIII of the Social Security Act. It establishes a temporary supply fee for long-term care pharmacies for specific prescriptions during the 2026 and 2027 plan years. Drug plan sponsors or organizations must pay these fees to pharmacies for certain dispensed prescriptions. The Secretary of Health and Human Services will provide subsidies to these plan sponsors to cover the cost of the fees. Additionally, the bill mandates a GAO study to analyze the economic sustainability of long-term care pharmacies in the Medicare program.
Yes· 3 of 7
Would people over 65 be better off under this?+5
The bill helps preserve pharmacy access for Medicare beneficiaries who rely on long-term care services.
Does this make health care easier to get in general?+5
The bill aims to ensure Medicare beneficiaries with long-term care needs have uninterrupted access to pharmacy services.
Does this make it easier to run a small business?+5
The bill provides additional supply fees to long-term care pharmacies to help ensure their economic sustainability.
The opposite
Does this reduce what the federal government spends?-3
The bill requires the Secretary to provide subsidies to plan sponsors to cover the aggregate amount of the supply fees.
Who it would affect, and how
Potential Positive Impacts for People
-
Increased revenue for long-term care pharmacies: Under Section 2(a), plan sponsors must pay a supply fee—$30 for the 2026 plan year and an increased amount for 2027—for specified prescriptions. This payment is intended to be in addition to other reimbursements like ingredient costs or dispensing fees.
-
Financial protection through subsidies: According to Section 2(b), the Secretary will provide subsidies to plan sponsors to cover the aggregate amount of these supply fees, ensuring the costs are offset.
-
Future planning for service access: Section 2(c) requires a GAO study to include recommendations on creating a sustainable payment system. The goal of these recommendations is to ensure Medicare beneficiaries with long-term care needs have uninterrupted access to pharmacy services, especially in rural markets.
Potential Negative Impacts for People
- Financial penalties for non-compliance: Under Section 2(a)(ii), the Secretary will impose a civil money penalty of at least $10,000 on any drug plan sponsor or organization that fails to pay the required supply fee for a specified prescription.
Groups and Interests Ranking
Every group the model scored this bill for, from -10 to +10. Hover a score for the reason it gave.
- Demographic And Interest Groups
- Good For Seniors+5Good For Rural Residents+4Good For Low Income Households+3
- Healthcare
- Improves Healthcare Access+5Increases Medicare Funding+4
- Governance And Ideology
- Improves Government Transparency+3
- Economy And Finance
- Improves Small Business Support+5Reduces Government Spending-3
- 6/25/2026
- 1 Cosponsor added.
- 6/18/2026
- 1 Cosponsor added.
- 5/12/2026
- 1 Cosponsor added.
- 4/22/2026
- 1 Cosponsor added.
- 3/26/2026
- 2 Cosponsors added.
- 3/12/2026
- 1 Cosponsor added.
- 3/5/2026
- 1 Cosponsor added.
- 1/23/2026
- 3 Cosponsors added.
- 1/8/2026
- 2 Cosponsors added.
- 1/6/2026
- 1 Cosponsor added.
- 12/17/2025
- 1 Cosponsor added.
- 12/10/2025
- 2 Cosponsors added.
- 12/9/2025
- 1 Cosponsor added.
- 12/2/2025
- 3 Cosponsors added.
- 11/20/2025
- 1 Cosponsor added.
- 11/19/2025
- 2 Cosponsors added.
- 11/17/2025
- 1 Cosponsor added.
- 11/12/2025
- 2 Cosponsors added.
- 11/10/2025
- 5 Cosponsors added.
- 11/4/2025
- 1 Cosponsor added.
- 10/28/2025
- 2 Cosponsors added.
- 10/24/2025
- 1 Cosponsor added.
- 10/14/2025
- 1 Cosponsor added.
- 10/3/2025
- 1 Cosponsor added.
- 9/19/2025
- 1 Cosponsor added.
- 9/18/2025
- 1 Cosponsor added.
- 9/11/2025
- 1 Cosponsor added.
- 8/22/2025
- Referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 5 Cosponsors added.
- Introduced in House
One bill Congress.gov lists as related to this one — companions in the other chamber, earlier versions, and bills this one absorbed or was folded into.
Rick AllenRepublican · Georgia
Stephanie BiceRepublican · Oklahoma
Andy BarrRepublican · Kentucky
Brian BabinRepublican · Texas
Aaron BeanRepublican · Florida
Wesley BellDemocrat · Missouri
Earl CarterRepublican · Georgia
James ComerRepublican · Kentucky
Donald DavisDemocrat · North Carolina
Sharice DavidsDemocrat · Kansas
Gabe EvansRepublican · Colorado
Randy FeenstraRepublican · Iowa
Brian FitzpatrickRepublican · Pennsylvania
Michelle FischbachRepublican · Minnesota
Brad FinstadRepublican · Minnesota
Vicente GonzalezDemocrat · Texas
Tony GonzalesRepublican · Texas
Josh HarderDemocrat · California
Ashley HinsonRepublican · Iowa
Brian JackRepublican · Georgia
Mike KellyRepublican · Pennsylvania
Jennifer KiggansRepublican · Virginia
Darin LaHoodRepublican · Illinois
Susie LeeDemocrat · Nevada
Nick LaLotaRepublican · New York
Greg LandsmanDemocrat · Ohio
Carol MillerRepublican · West Virginia
Ryan MackenzieRepublican · Pennsylvania
John MannionDemocrat · New York
John McGuireRepublican · Virginia
Burgess OwensRepublican · Utah
Deborah RossDemocrat · North Carolina
Harold RogersRepublican · Kentucky
Mike RogersRepublican · Alabama
Josh RileyDemocrat · New York
Pete SessionsRepublican · Texas
Bradley SchneiderDemocrat · Illinois
Pete StauberRepublican · Minnesota
W. SteubeRepublican · Florida
Hillary ScholtenDemocrat · Michigan
Claudia TenneyRepublican · New York
David TaylorRepublican · Ohio
Derrick Van OrdenRepublican · Wisconsin
Gabe VasquezDemocrat · New Mexico
Eugene VindmanDemocrat · Virginia
Robert WittmanRepublican · Virginia