Preserving Patient Access to Long-Term Care Pharmacies Act

This bill requires Medicare drug plan sponsors and Medicare Advantage plans to pay long-term care pharmacies (pharmacies serving nursing homes and assisted living facilities) a mandatory $30 supply fee per prescription in 2026, increasing annually in 2027 based on inflation. The fee must be paid separately from existing reimbursements for drug costs or dispensing, and sponsors face $10,000 penalties for non-payment. The government will later reimburse sponsors for these fees through subsidies, paid within 18 months after each plan year. The bill also directs a GAO study on pharmacy payment sustainability in Medicare Part D, focusing on rural access and cost analysis. It directly affects long-term care pharmacies and Medicare drug plan sponsors, aiming to ensure uninterrupted pharmacy services for nursing home residents.