US EditionTrump signs funding bill with PBM reforms, hospital-at-home and telehealth extensions
The bill ends a partial shutdown, extends telehealth and hospital-at-home programs through 2027 and 2030, and enacts pharmacy benefit manager payment reforms in Medicare Part D.
- On Tuesday, the House voted 217 to 214 to send the bill that funds the HHS through Sept. 30, ending a partial shutdown and restoring telehealth and hospital-at-home flexibilities.
- Saturday saw the lapse that began the partial shutdown after Congress failed to pass an appropriations bill, with DHS excluded from a late-week funding deal that starts a two-week renegotiation clock.
- Lawmakers inserted PBM transparency requirements and pay-linking limits, and delayed Medicaid DSH cuts until fiscal year 2028, requiring off‑campus outpatient departments to use separate IDs.
- Longer-Term certainty allows providers to plan, invest and scale these programs, as the legislation preserves Medicare reimbursement through 2027 and extends the hospital-at-home program through September 30, 2030, Krista Drobac said in a Tuesday statement.
- Pharmacy groups praised the package, with Rosenbloom calling it `a significant step toward greater transparency, accountability, and fairness in the prescription drug marketplace`, while oversight signals future scrutiny.
15 Articles
15 Articles
Congress Reforms Prescription Drug Supply Change: What to Know
Congress has passed a series of reforms intended to lower prescription drug prices, though some industry analysts say the impact may be less than expected. The reforms affect the operation of pharmacy benefit managers, companies that negotiate prescription drug prices for health insurers, and employer-sponsored health plans. Independent pharmacists and some members of Congress had long sought these reforms but were unable to get them through bot…
Bartlesville Radio » News » Lankford Takes Aim at Drug Middlemen
A new federal funding package signed into law includes provisions championed by Senator James Lankford (R-OK) aimed at lowering prescription drug costs by cracking down on Pharmacy Benefit Managers (PBMs). The law increases transparency, protects independent pharmacies, and ensures savings reach patients. Lankford called it “a win for patients, pharmacies, and everyday budgets,” while the National Community Pharmacists Association said it’s the…
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