What does Preamble of HR 6580 do?

This bill proposes to amend title 38, United States Code. The stated purpose is to make improvements in the administration of the national formulary of the Department of Veterans Affairs. The bill also includes provisions for 'other purposes'.

What does SHORT TITLE. of HR 6580 do?

This bill is formally titled the VA National Formulary Act of 2025.

What does CODIFICATION AND IMPROVEMENT OF DEPARTMENT OF VETERANS AFFAIRS of HR 6580 do?

This section amends Chapter 73 of title 38, United States Code, by adding a new subchapter regarding the National Formulary. The Secretary is required to maintain a national formulary consisting of drugs and supplies available by prescription through Department medical facilities. The Pharmacy Benefits Management Service is responsible for managing the national formulary. Generally, no Veterans Integrated Service Network or medical center can maintain a local formulary with drugs not on the national formulary, except under specific circumstances. A drug not on the national formulary may be provided if a nonformulary medication request process is followed or if explicitly approved via a waiver process. The Secretary must regularly communicate with the public regarding the national formulary and publish rationale for significant changes. An annual appeals report detailing nonformulary decisions and appeals is required. A Pharmacy and Therapeutics Committee is established to support the Pharmacy Benefits Management Services. The Committee will review newly approved drugs and make formulary inclusion/exclusion decisions within 120 days. The Secretary must establish a tiered appeals process for nonformulary drug decisions.

What does DEPARTMENT OF VETERANS AFFAIRS PHARMACEUTICAL PURCHASING of HR 6580 do?

This section amends Subchapter II of chapter 81 of title 38, United States Code, by inserting a new section 8130 regarding pharmaceutical purchasing agreements and value-based initiatives. The Secretary is authorized to negotiate additional discounts or price concessions with drug manufacturers, considering formulary placement and entering agreements for preferred status in exchange for clinically appropriate outcomes and cost savings. The Secretary is directed to use industry best practices, including blanket purchase agreements and volume-leveraging contracts, to achieve favorable pricing for drugs and medical supplies. The Secretary may pursue value-based purchasing arrangements with manufacturers, tying payments to drug effectiveness for veterans and establishing monitoring mechanisms. The Secretary must conduct periodic reviews of formulary changes and their budgetary effects, submitting results to the Committees on Veterans’ Affairs. The Secretary shall establish a tiered schedule for copayments, with lower copayments for generic drugs and drugs on the national formulary. The term 'biological product' is defined for the purposes of this section, referencing the Public Health Service Act.

What does VETERANS FORMULARY ADVISORY COMMITTEE. of HR 6580 do?

This section establishes the Veterans Formulary Advisory Committee. The Advisory Committee will provide veteran and clinician input on the Department of Veterans Affairs' national formulary. The committee will consist of no more than ten members, including clinical providers and stakeholder representatives. The Advisory Committee is required to meet at least semiannually to review proposed formulary changes. The committee may provide feedback and recommendations regarding proposed formulary additions, removals, and restrictions. Recommendations from the Advisory Committee are advisory in nature. The Advisory Committee will terminate two years after its establishment.

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VA National Formulary Act of 2025 — HR. 6580

Last updated: 12/10/2025 · Introduced: 12/10/2025

Author: Mariannette Miller-Meeks (R-IA)

TL;DR (AI)

This bill establishes a national formulary for the Department of Veterans Affairs, limiting local formularies to drugs included in the national list except under specific waiver processes.
The bill authorizes the Secretary to negotiate drug discounts and implement value-based purchasing agreements with manufacturers, tying payments to drug effectiveness and establishing a tiered copayment schedule.
It creates a Veterans Formulary Advisory Committee to provide veteran and clinician input on formulary decisions, though these recommendations are advisory.

119th Congressin committeeOfficial page

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Other Sections

Includes provisions on preamble, short title., and 3 more.

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