US Federal 2025-2026 Regular Session

US Federal House Bill HB6610

Introduced
12/11/25  

Caption

Pharmacists Fight Back [in Federal Employee Health Benefit Plans Act]

Impact

If enacted, HB 6610 would significantly alter the dynamics of how federal health benefits plans negotiate and manage drug benefits. By introducing strict requirements on reimbursement practices, the bill would empower pharmacies, promoting fair compensation for their services and potentially lowering costs for beneficiaries. The legislation opens the door for greater transparency in drug pricing and offers a path toward accountability for PBMs. Proponents argue this could ultimately enhance patient access to medications, ensuring that pharmacies can remain viable and competitive in providing cost-effective care under federal health programs.

Summary

House Bill 6610, known as the Pharmacists Fight Back [in Federal Employee Health Benefit Plans Act], aims to regulate pharmacy benefit managers (PBMs) in administering prescription drug benefits under federal employee health benefit plans. The bill seeks to ensure that in-network pharmacies are reimbursed fairly for the cost of prescription drugs. Specifically, it mandates PBMs to set reimbursement rates based on the national average drug acquisition cost, plus an additional fee, thereby limiting their authority to impose arbitrary reductions or fees on pharmacies at the point of sale. This regulation addresses rising concerns about PBMs' influence over drug pricing and their operational practices, which have historically led to increased healthcare costs for consumers.

Contention

However, the bill has faced opposition from some stakeholders who argue that increased regulation could ultimately stifle competition among PBMs, leading to fewer choices for consumers. Critics fear that imposing rigid reimbursement protocols may lead PBMs to adapt by raising premiums or limiting the availability of certain medications. Furthermore, there is concern that these changes might lead to a reduction in the number of participating pharmacies within the network, particularly affecting small and independent pharmacies. Thus, while the intent is to benefit consumers and pharmacists, the ramifications for the health insurance market and drug availability could foster significant debate ahead.

Companion Bills

No companion bills found.

Previously Filed As

US HB6609

Pharmacists Fight Back in Medicare and Medicaid Act

US HB4409

Fair Pharmacies for Federal Employees Act of 2025

US SB1236

Relating to the relationship between pharmacists or pharmacies and health benefit plan issuers or pharmacy benefit managers.

US HB3317

Relating to the relationship between pharmacists or pharmacies and health benefit plan issuers or pharmacy benefit managers.

US HB2432

Providing an excise tax on large employers for certain federal benefits paid to employees.

US HB969

Georgia State Employees Post-employment Health Benefit Fund; certain fund beneficiaries to not be disqualified from postretirement health benefits; provide

US HB139

Relating to employer health benefit plans that do not include state-mandated health benefits.

US SB1354

Relating to the minimum reimbursement amount for prescription drugs and devices to health benefit plan network pharmacists and pharmacies.

US HB2978

Relating to the minimum reimbursement amount for prescription drugs and devices to health benefit plan network pharmacists and pharmacies.

US A767

Concerns unlawful employment practices based on provision of health benefits plans.

Similar Bills

KS HB2551

Enacting the Kansas pharmacy services administrative organization act.

AR SB593

To Amend The Arkansas Pharmacy Benefits Manager Licensure Act; And To Create The Pharmacy Services Administrative Organization Act.

MS HB558

Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.

MS HB1125

Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.

NJ S2345

"Patient and Provider Protection Act."

AR SB475

To Establish The Pharmacy Services Administrative Organization Act; And To Regulate Pharmacy Services Administrative Organizations.

AZ HB2429

Pharmacy benefits; pharmacy management networks

AZ HB2813

pharmacy benefits; workers' compensation