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    <number>882</number>
    <updateDate>2026-02-19T22:16:57Z</updateDate>
    <updateDateIncludingText>2026-02-19T22:16:57Z</updateDateIncludingText>
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            <date>2025-03-06T17:42:31Z</date>
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        <title>Consolidated Appropriations Act, 2026</title>
        <congress>119</congress>
        <number>7148</number>
        <type>HR</type>
        <latestAction>
          <actionDate>2026-02-03</actionDate>
          <text>Became Public Law No: 119-75.</text>
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        <title>Bipartisan Health Care Act</title>
        <congress>119</congress>
        <number>891</number>
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        <latestAction>
          <actionDate>2025-03-06</actionDate>
          <text>Read twice and referred to the Committee on Finance.</text>
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        <title>Lower Costs for Everyday Americans Act</title>
        <congress>119</congress>
        <number>1768</number>
        <type>HR</type>
        <latestAction>
          <actionDate>2025-03-03</actionDate>
          <text>Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, the Budget, the Judiciary, and Education and Workforce, 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.</text>
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        <text>Read twice and referred to the Committee on Finance.</text>
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        <actionDate>2025-03-06</actionDate>
        <text>Introduced in Senate</text>
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        <bioguideId>B001243</bioguideId>
        <fullName>Sen. Blackburn, Marsha [R-TN]</fullName>
        <firstName>Marsha</firstName>
        <lastName>Blackburn</lastName>
        <party>R</party>
        <state>TN</state>
        <isByRequest>N</isByRequest>
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        <bioguideId>H001076</bioguideId>
        <fullName>Sen. Hassan, Margaret Wood [D-NH]</fullName>
        <firstName>Maggie</firstName>
        <lastName>Hassan</lastName>
        <party>D</party>
        <state>NH</state>
        <sponsorshipDate>2025-03-06</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>L000575</bioguideId>
        <fullName>Sen. Lankford, James [R-OK]</fullName>
        <firstName>James</firstName>
        <lastName>Lankford</lastName>
        <party>R</party>
        <state>OK</state>
        <sponsorshipDate>2025-03-06</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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      <item>
        <bioguideId>W000805</bioguideId>
        <fullName>Sen. Warner, Mark R. [D-VA]</fullName>
        <firstName>Mark</firstName>
        <lastName>Warner</lastName>
        <party>D</party>
        <state>VA</state>
        <middleName>R.</middleName>
        <sponsorshipDate>2025-03-06</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>M001198</bioguideId>
        <fullName>Sen. Marshall, Roger [R-KS]</fullName>
        <firstName>Roger</firstName>
        <lastName>Marshall</lastName>
        <party>R</party>
        <state>KS</state>
        <sponsorshipDate>2025-03-06</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>W000800</bioguideId>
        <fullName>Sen. Welch, Peter [D-VT]</fullName>
        <firstName>Peter</firstName>
        <lastName>Welch</lastName>
        <party>D</party>
        <state>VT</state>
        <sponsorshipDate>2025-03-06</sponsorshipDate>
        <isOriginalCosponsor>True</isOriginalCosponsor>
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        <bioguideId>C001113</bioguideId>
        <fullName>Sen. Cortez Masto, Catherine [D-NV]</fullName>
        <firstName>Catherine</firstName>
        <lastName>Cortez Masto</lastName>
        <party>D</party>
        <state>NV</state>
        <sponsorshipDate>2025-03-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
      </item>
      <item>
        <bioguideId>C001075</bioguideId>
        <fullName>Sen. Cassidy, Bill [R-LA]</fullName>
        <firstName>Bill</firstName>
        <lastName>Cassidy</lastName>
        <party>R</party>
        <state>LA</state>
        <sponsorshipDate>2025-03-10</sponsorshipDate>
        <isOriginalCosponsor>False</isOriginalCosponsor>
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    <policyArea>
      <name>Health</name>
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    <subjects>
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      <policyArea>
        <name>Health</name>
        <updateDate>2025-03-25T15:49:41Z</updateDate>
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    <summaries>
      <summary>
        <versionCode>00</versionCode>
        <actionDate>2025-03-06</actionDate>
        <actionDesc>Introduced in Senate</actionDesc>
        <updateDate>2026-02-19T22:14:44Z</updateDate>
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          <text>&lt;p&gt;&lt;strong&gt;Patients Before Middlemen Act&lt;/strong&gt;&lt;/p&gt;&lt;p&gt;This bill establishes certain standards and reporting requirements for prescription drug plan (PDP) sponsors, pharmacy benefit managers (PBMs), and pharmacies under the Medicare prescription drug benefit and Medicare Advantage.&lt;/p&gt;&lt;p&gt;Specifically, the Centers for Medicare &amp;amp; Medicaid Services (CMS) must develop reasonable and relevant standards for contracts between PDP sponsors and pharmacies. The CMS must seek input from interested stakeholders when developing these standards. PDP sponsors are subject to civil penalties for violating these standards; PBMs must reimburse PDP sponsors for civil penalties that result from their responsibilities.&lt;/p&gt;&lt;p&gt;The bill also requires the CMS to report periodically on essential retail pharmacies (i.e., pharmacies that serve as the only pharmacy within a certain radius) with respect to costs, contracts, and other specified information, particularly in relation to other types of pharmacies.&lt;/p&gt;&lt;p&gt;Additionally, PBMs may not receive any income other than flat, bona fide service fees. PBMs must turn over any excess amounts they receive to PDP sponsors; PDP sponsors must turn over these amounts to the CMS. In addition, PBMs must report to PDP sponsors and to the CMS an itemized list of prescription drugs that were dispensed during the previous year and related data about costs, claims, affiliated pharmacies, and other specified information. PDP sponsors may audit PBMs to ensure compliance with these requirements and must annually certify their compliance; PBMs are responsible for any associated civil penalties for violations.&lt;/p&gt;&lt;p&gt;The bill's changes generally apply beginning in 2028.&lt;/p&gt;</text>
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    </summaries>
    <title>Patients Before Middlemen Act</title>
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        <titleType>Display Title</titleType>
        <titleTypeCode>45</titleTypeCode>
        <title>Patients Before Middlemen Act</title>
        <updateDate>2025-03-25T05:38:19Z</updateDate>
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        <titleType>Short Title(s) as Introduced</titleType>
        <titleTypeCode>101</titleTypeCode>
        <title>Patients Before Middlemen Act</title>
        <updateDate>2025-03-25T05:38:19Z</updateDate>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
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      <item>
        <titleType>Official Title as Introduced</titleType>
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        <title>A bill to amend title XVIII of the Social Security Act to assure pharmacy access and choice for beneficiaries under prescription drug plans and MA-PD plans and to establish requirements of pharmacy benefit managers under Medicare part D.</title>
        <updateDate>2025-03-25T05:33:26Z</updateDate>
        <billTextVersionName>Introduced in Senate</billTextVersionName>
        <billTextVersionCode>IS</billTextVersionCode>
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        <type>Introduced in Senate</type>
        <date>2025-03-06T05:00:00Z</date>
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            <url>https://www.govinfo.gov/content/pkg/BILLS-119s882is/xml/BILLS-119s882is.xml</url>
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    <latestAction>
      <actionDate>2025-03-06</actionDate>
      <text>Read twice and referred to the Committee on Finance.</text>
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    <dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
    <dc:contributor>Congressional Research Service, Library of Congress</dc:contributor>
    <dc:description>This file contains bill summaries and statuses for federal legislation. A bill summary describes the most significant provisions of a piece of legislation and details the effects the legislative text may have on current law and federal programs. Bill summaries are authored by the Congressional Research Service (CRS) of the Library of Congress. As stated in Public Law 91-510 (2 USC 166 (d)(6)), one of the duties of CRS is "to prepare summaries and digests of bills and resolutions of a public general nature introduced in the Senate or House of Representatives". For more information, refer to the User Guide that accompanies this file.</dc:description>
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