S 4509 United States Senate · 119th Congress

PBM Act

The Patients Before Monopolies Act prohibits companies from owning both pharmacy benefit managers and insurance businesses or pharmacies to eliminate conflicts of interest. It requires existing violators to sell off their pharmacy operations within one year and grants the Federal Trade Commission and Department of Justice the power to block new mergers that would recreate these combined ownership structures. The bill also allows private citizens and state officials to sue for violations, seeking penalties like disgorgement of profits and treble damages if the law is broken.
Bill status in committee 1 of 4 stages cleared
Introduction
May 2026
Committee Review
Floor Vote
President
Introduced May 13, 2026 Last action May 13, 2026
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Full legislative history

Actions timeline

Total actions
2
Key actions
0
Committee
1
May 13, 2026
Committee
Read twice and referred to the Committee on the Judiciary.
upper
May 13, 2026
Introduced
Introduced in Senate
upper
1 primary · 3 co-sponsors

Sponsors