U.S. Congress legislation · 119th Congress
HB10549: Patients Choice in Specialty Pharmacy Act
Status: In committee, September 24, 2026
To amend title XXVII of the Public Health Service Act to prohibit certain group health plans and health insurance issuers from limiting choice in specialty pharmacies.
What the bill says
To amend title XXVII of the Public Health Service Act to prohibit certain group health plans and health insurance issuers from limiting choice in specialty pharmacies.
From the introduced text, September 24, 2026:
A BILL To amend title XXVII of the Public Health Service Act to prohibit certain group health plans and health insurance issuers from limiting choice in specialty pharmacies. SECTION 1. Short title This Act may be cited as the Patients Choice in Specialty Pharmacy Act . SECTION 2. Prohibiting certain group health plans and health insurance issuers from limiting choice in specialty pharmacies (a) In general Subpart II of part A of title XXVII of the Public Health Service Act ( 42 U.S.C. 300gg-11 et seq. ) is amended by adding at the end the following new section: SECTION 2730. Prohibition on limiting specialty pharmacy choice (a) Prohibition on steering to affiliated specialty pharmacies A group health plan (other than a self-insured group health plan) or a health insurance issuer offering group or individual health insurance coverage may not require, steer, or induce an enrollee in the plan or coverage to obtain a prescription drug for which benefits are available under the plan or coverage from an affiliated specialty pharmacy, including by-- (1) imposing higher cost sharing, including copayments, coinsurance, or deductibles, when such drug is dispensed by a specialty pharmacy that is not an affiliated specialty pharmacy; (2) offering a discount, rebate, or other financial incentive that is conditioned on the enrollee obtaining such drug from an affiliated specialty …
Sponsors
- Neal Dunn (R, HD-002) · primary sponsor
- Joe Wilson (R, HD-SC-2)
Latest actions
- : Referred to the House Committee on Energy and Commerce.
- : Introduced in House
Subjects: Health
Common questions
- What is HB10549?
- HB10549 is a bill in Congress (119th Congress): Patients Choice in Specialty Pharmacy Act.
- What does HB10549 do?
- In its own words: To amend title XXVII of the Public Health Service Act to prohibit certain group health plans and health insurance issuers from limiting choice in specialty pharmacies.
- What is the status of HB10549?
- In committee as of September 24, 2026. Latest action: Referred to the House Committee on Energy and Commerce. (September 24, 2026).
- Who sponsored HB10549?
- Neal Dunn (R, HD-002), with 1 co-sponsor.
- Where is the official record for HB10549?
- On the Congress website: https://www.congress.gov/bill/119th-congress/house-bill/10549
Source: official Congress record. Tracked by Delilah, AI for legislation across all 50 states and Congress.