US Federal 2025-2026 Regular Session

US Federal Senate Bill SB3822

Introduced
2/10/26  

Caption

Break Up Big Medicine Act

Impact

The impact of SB3822 is significant as it strives to dismantle the vertical integration of healthcare systems that has become prevalent, where a few organizations control comprehensive elements of the healthcare supply chain. By banning common ownership, the bill intends to restore competition in healthcare markets, potentially lowering drug prices and improving access to care for consumers. The legislation also delineates protocols for enforcement and compliance, granting authority to the Federal Trade Commission and the Department of Justice to ensure adherence to the new rules. Failure to comply with these requirements will incur penalties, further emphasizing the bill’s commitment to reform.

Summary

SB3822, known as the 'Break Up Big Medicine Act,' seeks to prohibit common ownership among pharmacy benefit managers, insurers, and certain medical service providers. The bill addresses growing concerns about the consolidation within the healthcare industry, where large conglomerates dominate markets, leading to conflicts of interest. Specifically, it aims to ensure that organizations owning health insurance plans cannot also control pharmacies or other healthcare providers, thereby promoting competition. The act mandates divestment from such overlapping ownerships within one year of its enactment.

Contention

While supporters view this bill as a necessary reform to protect patients and preserve fair competition in the healthcare marketplace, critics argue that it may lead to disruptive shifts within healthcare delivery systems. They contend that dismantling established vertical integrations might hinder efficiencies that could actually benefit consumers. Additionally, concerns have been expressed regarding the timing and scale of divestments, as these could affect service provision and operational stability for many healthcare entities. The debate continues as stakeholders assess the immediate and long-term ramifications of such sweeping changes to the healthcare framework.

Companion Bills

No companion bills found.

Previously Filed As

US SB140

To Mandate The Use Of Biosimilar Medicines Under Health Benefit Plans; To Require A Healthcare Provider To Prescribe Biosimilar Medicines; And To Improve Access To Biosimilar Medicines.

US SB3133

Relating To Preventive Medicine.

US HB2313

Relating To Preventive Medicine.

US SB195

AN ACT relating to medicinal cannabis.

US SB253

AN ACT relating to medicinal cannabis.

US S0688

Naturopathic Medicine

US HB4525

Right to FDA-Approved Medicines Act

US H0533

Naturopathic Medicine

US H0223

Naturopathic Medicine

US S1092

Podiatric Medicine

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