Section 1 Short title
This Act may be cited as the “Neighborhood Options for Patients Buying Medicines Act” or the “NO PBMs Act”.
Neighborhood Options for Patients Buying Medicines Act
A BILL
To amend title XVIII of the Social Security Act to assure pharmacy access and choice for Medicare beneficiaries.
Sec. 2 Assuring pharmacy access and choice for Medicare beneficiaries
Section 1860D–4(b)(1) of the Social Security Act (42 U.S.C. 1395w–104(b)(1)) is amended by striking subparagraph (A) and inserting the following:
“(A) In general
“(i) Participation of any willing pharmacy—A PDP sponsor offering a prescription drug plan or a pharmacy benefit manager acting to develop a pharmacy network on behalf of such plan shall permit the participation of any pharmacy that meets the standard contract terms and conditions under such plan to participate as a network pharmacy of such plan.
“(ii) Contract terms and conditions—In accordance with clause (i), contract terms and conditions offered by such PDP sponsor or pharmacy benefit manager shall be reasonable and relevant. Notwithstanding any other provision of law, not later than January 1, 2026, the Secretary shall establish standards for reasonable and relevant contract terms and conditions for purposes of this clause.”