PBM Price Transparency and Accountability Act

Introduced

In Committee

Floor

Crossed Over

Passed

Enacted

Overview Bill text 1 History 2 Sponsors

Introduced in Senate Dec 4, 2025 · 15.4K words Open full page ↗

119TH CONGRESS

1ST SESSION

S. 3345

To amend titles XVIII and XIX of the Social Security Act to ensure accurate

payments to pharmacies under Medicaid and prevent the use of abusive

spread pricing in Medicaid, and to assure pharmacy access and choice

for Medicare beneficiaries and modernize and ensure PBM accountability

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PASSAGE PROBABILITY

1% Unlikely

Why this number

Stage base Introduced — base rate 2%, measured from US's completed sessions
Momentum -4 33/100 from the pace of recorded action
Time since last action -22 318 days quiet

A transparent scoring model over stage, momentum, recency, sponsorship and recorded votes — not a trained predictor. Treat it as a way to rank attention, not as a forecast.