What does Preamble of Rx ACCESS Act do?

This bill aims to amend title 10, United States Code. The stated purpose is to improve access to certain medications under the TRICARE program. The bill was introduced in the House of Representatives on December 3, 2025.

What does SHORT TITLE. of Rx ACCESS Act do?

This bill is formally titled the Rx Access, Choice, Cost Equity, and Supply Stability Act.

What does IMPROVEMENTS RELATING TO ACCESS, FAIRNESS, AND TRANSPARENCY of Rx ACCESS Act do?

This section amends title 10, United States Code, section 1074g, relating to the TRICARE Pharmacy Benefits Program. It extends a beneficiary election option for prescription refills, initially authorized beginning October 1, 2015, and adds a new option beginning October 1, 2026. The Secretary of Defense must ensure that pharmacy benefit managers (PBMs) reimburse TRICARE retail pharmacies at least the sum of the actual cost of acquiring the pharmaceutical agent or a proxy amount based on the national average drug acquisition cost, plus a professional dispensing fee. The contractor administering the program is prohibited from imposing fees on TRICARE retail pharmacies, including point-of-sale or retroactive fees. The Comptroller General must conduct annual audits of PBM reimbursement rates and the adequacy of the TRICARE retail pharmacy network, reporting results to the House and Senate Armed Services Committees. The Secretary of Defense must submit a plan for implementing this section to the congressional defense committees within 90 days of the Act's enactment.

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Rx ACCESS Act

Last updated: 12/3/2025 · Introduced: 12/3/2025

Author: Jennifer Kiggans (R-VA)

TL;DR (AI)

The Rx Access Act amends the TRICARE Pharmacy Benefits Program to extend prescription refill options for beneficiaries and introduce a new option starting in 2026.
The bill requires pharmacy benefit managers (PBMs) to reimburse TRICARE retail pharmacies based on actual drug acquisition costs plus a professional dispensing fee, and prohibits fees imposed on these pharmacies.
The bill mandates annual audits of PBM reimbursement rates and the TRICARE pharmacy network, with reports submitted to Congress, and requires the Secretary of Defense to submit an implementation plan.

119th Congressin committeeOfficial page

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Other Sections

Includes provisions on preamble, short title., and 1 more.

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