PROTECT Act of 2025

Senate Bill

S. 1967

119th Congress

PROTECT Act of 2025

In Committee

Introduced:Jun 5, 2025

Primary Sponsor

Steve Daines

Senator

Republican

MT

Cosponsors

7

Quick Stats

Policy Area

Health

Summary

The PROTECT Act of 2025 would prohibit pharmacy benefit managers (PBMs) from receiving any income beyond flat service fees for their work with Medicare prescription drug plans. This aims to prevent PBMs from profiting off drug prices, discounts, or rebates, and requires them to return any excess payments to the government.

Latest Action

Read twice and referred to the Committee on Finance.

SponsorSteve Daines (R-MT)

Introduced6/5/2025

StatusRead twice and referred to the Committee on Indian Affairs.

ChamberSenate

Data from Congress.gov

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Vote Prediction

PROTECT Act of 2025

The PROTECT Act of 2025 would prohibit pharmacy benefit managers (PBMs) from receiving any income beyond flat service fees for their work with Medicare prescription drug plans. This aims to prevent PBMs from profiting off drug prices, discounts, or rebates, an

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The PROTECT Act of 2025 would prohibit pharmacy benefit managers (PBMs) from receiving any income beyond flat service fees for their work with Medicare prescription drug plans. This aims to prevent PBMs from profiting off drug prices, discounts, or rebates, and requires them to return any excess payments to the government.

Bill Number: 1967
Sponsor: Steve Daines (R-MT)
Introduced: 6/5/2025
Status: Read twice and referred to the Committee on Indian Affairs.
Policy Area: Health

Data from Congress.gov

AI-generated summary

Fact Sheet

Title: PROTECT Act of 2025
Bill Number: 1967
Sponsor: Steve Daines (R-MT)
Status: Read twice and referred to the Committee on Indian Affairs.
Introduced: 6/5/2025
Summary: The PROTECT Act of 2025 would prohibit pharmacy benefit managers (PBMs) from receiving any income beyond flat service fees for their work with Medicare prescription drug plans. This aims to prevent PBMs from profiting off drug prices, discounts, or rebates, and requires them to return any excess pay

Data from Congress.gov

AI Summary

Plain-English explanation of this bill

The PROTECT Act of 2025 would prohibit pharmacy benefit managers (PBMs) from receiving any income beyond flat service fees for their work with Medicare prescription drug plans. This aims to prevent PBMs from profiting off drug prices, discounts, or rebates, and requires them to return any excess payments to the government.

Last updated: 12/30/2025

Official Summary

Congressional Research Service summary

Patients Before Middlemen Act or the PBM Act This bill prohibits pharmacy benefit managers (PBMs) under the Medicare prescription drug benefit or Medicare Advantage from receiving any income for their services other than bona fide service fees.Specifically, PBMs may not receive any income other than flat, bona fide service fees that are specified in their contracts with prescription drug plan (PDP) sponsors. Such fees may not be based on drug prices, discounts, rebates, or any other remuneration. PBMs must turn over any excess amounts they receive to the Centers for Medicare & Medicaid Services. PDP sponsors and PBMs must annually certify their compliance with these requirements.

Key Points

Main provisions of the bill

Bans PBMs from receiving income based on drug prices, discounts, or rebates under Medicare prescription drug plans
Requires PBMs to only receive flat, bona fide service fees specified in their contracts
Mandates PBMs to turn over any excess payments they receive to the Centers for Medicare & Medicaid Services
Calls for annual certifications of compliance from PBM companies and prescription drug plan sponsors

How This Impacts Americans

Potential effects on citizens and communities

This bill would impact Medicare beneficiaries and taxpayers by potentially reducing the costs of prescription drugs covered under Medicare. It targets the role of PBMs, which have been criticized for contributing to high drug prices through their negotiations with pharmaceutical companies. If enacted, the PROTECT Act could lead to more transparent pricing and cost savings for Medicare patients and the government.

Policy Areas

Primary Policy Area

Health

Scope & Jurisdiction

Jurisdiction Level

federal

Congressional Session

119th Congress

Citation Reference

1967, 119th Congress (2025). "PROTECT Act of 2025". Source: Voter's Right Platform. https://votersright.org/bills/118-s-1967

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