Bill · S. 3159· Senate(119-S-3159)
Preserving Patient Access to Long-Term Care Pharmacies Act
- Introduced
- 11/7/2025
- Last activity
- 11/7/2025 — Read twice and referred to the Committee on Finance.
- Sponsored by
- James Lankford
- Cosponsors
- - 4 - 0
- Introduced
- In Committee
What this bill would do
This bill, called the "Preserving Patient Access to Long-Term Care Pharmacies Act," creates a temporary supply fee for long-term care pharmacies. For the years 2026 and 2027, pharmacy benefit sponsors must pay a fee for certain prescription drugs dispensed to specific eligible individuals. The government will provide subsidies to the plan sponsors to cover these fees. Additionally, the GAO will study the economic sustainability of long-term care pharmacies in the Medicare program. The goal is to ensure Medicare beneficiaries have continued access to these pharmacy services.
Yes· 3 of 16
Would people over 65 be better off under this?+8
Directly benefits Medicare beneficiaries, who are primarily seniors, by ensuring access to long-term care pharmacies.
Would retired people be better off under this?+8
Retirees using Medicare Part D in long-term care facilities benefit from maintained pharmacy access.
Would people in rural areas be better off under this?+7
Explicitly aims to ensure uninterrupted pharmacy access in rural markets.
The opposite
Does this reduce what the federal government spends?-3
Creates new government expenditures through subsidies to cover pharmacy supply fees.
Does this reduce what the federal government owes?-2
The bill requires the government to provide subsidies to plan sponsors, increasing federal spending.
Does this make the government pay for what it commits to?-2
Adds new spending obligations to the Medicare program.
Who it would affect, and how
Potential Positive Impacts for People
-
Maintains access to pharmacy services: The bill aims to ensure that Medicare beneficiaries, especially those in rural markets, have "uninterrupted access to long-term care pharmacy services" (Sec. 2(c)(1)(B)).
-
Financial support for pharmacies: Long-term care pharmacies receive a $30 supply fee in 2026 and an adjusted fee in 2027 for specified prescriptions, which is paid in addition to other reimbursements (Sec. 2(a)(i)(I)).
-
Future sustainability research: The GAO will conduct a study to recommend a "sustainable payment system" for long-term care pharmacies under the Medicare prescription drug program (Sec. 2(c)(1)(B)).
Potential Negative Impacts for People
- Financial penalties for plan sponsors: PDP sponsors and MA organizations face civil money penalties of at least $10,000 for each failure to pay the required supply fee (Sec. 2(a)(ii)(I)).
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 Retirees+8Good For Seniors+8Good For Rural Residents+7Good For Business Owners+6Good For People With Disabilities+5Good For Low Income Households+3Good For Middle Class Households+3Good For Urban Residents+2
- Healthcare
- Improves Healthcare Access+6Increases Medicare Funding+4
- Environment Energy And Infrastructure
- Improves Rural Development+4
- Governance And Ideology
- Increases Federal Power+2Improves Government Transparency+1
- Economy And Finance
- Improves Small Business Support+5Increases Job Creation+2Improves Economic Growth+1Reduces Government Spending-3Improves Fiscal Responsibility-2Reduces National Debt-2
- 4/28/2026
- 1 Cosponsor added.
- 4/14/2026
- 1 Cosponsor added.
- 2/25/2026
- 1 Cosponsor added.
- 11/7/2025
- Read twice and referred to the Committee on Finance.
- 1 Cosponsor added.
- Introduced in Senate
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.
Marsha BlackburnRepublican · Tennessee
Shelley CapitoRepublican · West Virginia
Cindy Hyde-SmithRepublican · Mississippi
Markwayne MullinRepublican · Oklahoma