S4509-119

In Committee

PBM Act

119th Congress Introduced May 13, 2026

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

The bill creates findings The Congress finds the following: Pharmacy benefit managers are corporate entities that play a dominant role in pharmaceutical supply chains, determining which drugs health plans will cover and creates prohibitions relating to anticompetitive pharmacy ownership and contracts It shall be unlawful for any person to both— directly or indirectly own, operate, control, or direct the operation of the whole or any. It relies on appropriations, grants, tax rate changes, and reporting requirements. The main policy areas are Finance, Environment, Healthcare, and Health.

Who Benefits and How

The main beneficiaries are the people, organizations, or agencies identified in the bill's substantive provisions.

Who Bears the Burden and How

Patients and health care consumers affected by the bill could lose revenue opportunities, Environmental and public health interests affected by the bill would take on compliance duties, and Businesses and employers affected by the bill would take on compliance duties.

Key Provisions

  • Creates findings The Congress finds the following: Pharmacy benefit managers are corporate entities that play a dominant role in pharmaceutical supply chains, determining which drugs health plans will cover...
  • Creates prohibitions relating to anticompetitive pharmacy ownership and contracts It shall be unlawful for any person to both— directly or indirectly own, operate, control, or direct the operation of the whole or any...

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

The bill creates findings The Congress finds the following: Pharmacy benefit managers are corporate entities that play a dominant role in pharmaceutical supply chains, determining which drugs health plans will cover and creates prohibitions relating to anticompetitive pharmacy ownership and contracts It shall be unlawful for any person to both— directly or indirectly own, operate, control, or direct the operation of the whole or any.

Key Policy Areas

Finance, Environment, Healthcare, Health

Primary Purpose

The bill creates findings The Congress finds the following: Pharmacy benefit managers are corporate entities that play a dominant role in pharmaceutical supply chains, determining which drugs health plans will cover and creates prohibitions relating to anticompetitive pharmacy ownership and contracts It shall be unlawful for any person to both— directly or indirectly own, operate, control, or direct the operation of the whole or any.

Policy Domains

Finance Environment Healthcare Health

Whole bill

Identified Costs
  • Patients and health care consumers affected by the bill
  • Environmental and public health interests affected by the bill
  • Businesses and employers affected by the bill
  • Federal, state, or local agencies responsible for implementing the clause
  • Homeowners, tenants, or housing market participants affected by the bill
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: is
Businesses and employers affected by the bill: ,
Patients and health care consumers affected by the bill: ,
Environmental and public health interests affected by the bill: ,
Homeowners, tenants, or housing market participants affected by the bill:
Federal, state, or local agencies responsible for implementing the clause:

Legislative Progress

In Committee
Introduced Committee Passed
May 13, 2026

Read twice and referred to the Committee on the Judiciary.

May 13, 2026

Introduced in Senate

May 13, 2026

Ms. Warren (for herself, Mr. Hawley, Mr. Fetterman, and Mr. …

Impact analysis is available but no clear stakeholder effects identified. View clause-level analysis →

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Finance Environment Healthcare Health

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology