Latest action: Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Referred to one or more standing committees for review, hearings, and possible markup.
Specific committees not parsed from action data.
The committee may hold hearings, amend the bill, or let it die without action.
Next: Reported
Full chamber floor — Speaker / Majority Leader controls scheduling
Bill requiring health insurance plans to match patient medication costs across different pharmacies.
The problem
Patients may pay different copayments for the same medication at different pharmacies, creating confusion and financial burden for those managing chronic conditions.
The proposal
Requires health insurers to standardize patient cost-sharing amounts for identical medications regardless of which pharmacy fills the prescription.
The impact
Patients with prescriptions gain price consistency; insurers face administrative changes; pharmacies adjust billing practices; healthcare system increases transparency.
Patients won't face surprise cost differences when refilling prescriptions at different locations. This simplifies decision-making and helps people budget for medications more easily.
Pharmacies may compete on service quality rather than negotiated insurance rates. This could improve customer service and convenience without hiding different prices.
When costs are predictable, patients are more likely to take medications as prescribed. Better adherence reduces serious health complications and emergency room visits.
Clear, consistent pricing helps patients understand their healthcare costs. Greater transparency allows informed decisions about where to fill prescriptions.
Insurance companies must update systems to track and enforce standardized copayments across all pharmacies. Implementation costs could be substantial.
Insurers currently negotiate different rates with different pharmacies to control costs. This requirement reduces their ability to manage expenses through selective agreements.
If insurers cannot negotiate variable pharmacy rates, they may pass higher costs to all customers through increased premiums or reduced coverage.
Standardized pricing could disadvantage independent pharmacies that operate at higher costs. Large chains might gain competitive advantage from uniform pricing structures.
Generated by AI from the bill text. Not a prediction and not legal or policy advice. The percentage is the model's own rating of each item — self-reported, and not a measure of how accurate it is.
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