Bills · HR 5031
IN COMMITTEE· 119TH CONGRESS
House BillHR 5031Health
Preserving Patient Access to Long-Term Care Pharmacies Act
INTRO AUG 22· LAST ACTION AUG 22
READING
5MIN
COSPONSORS
46BIPARTISAN
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed House
Passed Senate
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenThis bill matters because it aims to support pharmacies that specialize in serving vulnerable patients in nursing homes and other long-term care settings. These pharmacies often have higher costs due to specialized packaging, delivery, and services required for these patients. Without adequate compensation, some long-term care pharmacies might struggle financially, potentially leading to reduced services or closures, especially in rural areas.
If this bill becomes law, it would provide a temporary financial boost to these pharmacies, which could help them remain operational and continue providing essential services. If it doesn't pass, long-term care pharmacies might continue to face economic challenges, which could eventually impact the quality and accessibility of prescription drug services for Medicare beneficiaries in long-term care facilities.
KEY PROVISIONS
5AI-extractedPROVISION 01
Mandates a temporary 'supply fee' for long-term care pharmacies for specific prescriptions in 2026 ($30) and 2027 (adjusted amount).
This provides additional revenue to long-term care pharmacies to help cover their operational costs for specialized services.
PROVISION 02
Requires Medicare Part D plans (PDP sponsors and MA organizations) to pay this supply fee to pharmacies.
This establishes the payment mechanism, ensuring the pharmacies receive the fee from the insurance plans.
PROVISION 03
Imposes a civil money penalty of at least $10,000 on Part D plans for each instance they fail to pay the required supply fee.
This provision enforces compliance, ensuring that plans make the necessary payments to pharmacies.
PROVISION 04
Requires the government to reimburse Part D plans for the total amount of these supply fees they pay to long-term care pharmacies.
This ensures that the financial burden of the new fee is ultimately borne by the federal government, not the Part D plans.
PROVISION 05
Directs the Government Accountability Office (GAO) to study the economic viability of long-term care pharmacies within Medicare Part D and provide recommendations.
This aims to gather data and propose long-term solutions for the sustainable operation of these critical pharmacies.
SPONSORSHIP
1 + 46
R· Texas
YRS IN OFFICE
5
BILLS LED
48
COSPONSOR BREAKDOWNBIPARTISAN · 61%
DEM 14 REP 32 IND 0
ACTION TIMELINE
2 EVENTSAUG 22
Introduced in House
AUG 22
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.
BILL INFO
TypeHouse Bill
NumberHR 5031
Congress119th
StatusIn Committee
IntroducedAug 22, 2025
Last actionAug 22, 2025
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IN COMMITTEE· 119TH CONGRESS · WAYS AND MEANS COMMITTEE · INTRODUCED AUG 22, 2025
House BillHR 5031Health
Preserving Patient Access to Long-Term Care Pharmacies Act
INTRODUCED AUG 22, 2025· LAST ACTION AUG 22, 2025
PASSAGE CHANCES
—%
READING
5 min
COSPONSORS
46
COMPLEXITY
Moderate
