House Introduces PBM Reform Package Targeting Medicare, Medicaid Markets

Jul 11
Jul 11, 2025

Although PBM reform measures wound up being cut from Republicans’ newly passed budget reconciliation legislation, 11 bipartisan Congress members on July 10 introduced a package containing PBM restrictions that some industry stakeholders hope can finally get across the finish line.

The PBM Reform Act contains many of the measures that were included — but then removed — from a year-end spending bill in 2024. Some of those provisions were later included in the House’s version of the “One Big Beautiful Bill Act,” but they were left out of the legislation that cleared the Senate.
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Leslie Small

Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.