Bill > HR6400

This bill, known as the Rx ACCESS Act, aims to improve the TRICARE pharmacy benefits program for military beneficiaries by making several key changes. Starting October 1, 2026, eligible beneficiaries will have more flexibility in how they receive non-generic maintenance medications, allowing them to choose their preferred method of prescription refill. The bill also establishes new reimbursement standards for pharmacies participating in the TRICARE program, requiring that they be paid at least the actual drug acquisition cost plus a professional dispensing fee equivalent to state Medicaid rates. Additionally, the bill prohibits contractors from imposing hidden fees on TRICARE retail pharmacies and mandates annual independent audits by the Comptroller General to assess reimbursement rates, pharmacy network adequacy, and beneficiary access. These audits will examine factors like geographic accessibility, particularly for rural and underserved areas, and will be reported to the House and Senate Armed Services Committees. The Secretary of Defense is required to submit an implementation plan to congressional defense committees within 90 days of the bill's enactment, ensuring transparency and accountability in the program's execution.

Military Affairs and Security

https://www.congress.gov/bill/119th-congress/house-bill/6400/all-info