Help us push to get PBM reforms in the new appropriations bill over the finish line

NCPA January 22, 2026

Please call your legislators now and urge them to support the Consolidated Appropriations Act of 2026 and pass much-needed PBM reforms! The bill is coming to the floor for a vote in both chambers of Congress (later this week in the House and next week in the Senate). Help us secure the passage of the biggest reform to Medicare Part D in the past 20 years.

The bill includes provisions that would:

  • Require CMS to define reasonable and relevant contract terms, including those related to reimbursements, in the Part D program.

  • Establish a mechanism for pharmacies to report contract violations.

  • Introduce a designation for “essential retail pharmacies” which will allow CMS to track payment trends to pharmacies deemed essential and their inclusion in PBM networks.

  • Give CMS the tools and resources to enforce contact standards.

NCPA