Bills · S 3729
IN COMMITTEE· 119TH CONGRESS
Senate BillS 3729Health
PBM Reporting Transparency Act
INTRO JAN 29· LAST ACTION JAN 29
READING
2MIN
COSPONSORS
3BIPARTISAN
READER REACTIONS0 TOTAL
NO VOTES YET · BE THE FIRST
- Introduced only
LEGISLATIVE PROGRESS
STEP 2 / 8Introduced
In Committee
Reported
Passed Senate
Passed House
Conference
To President
Became Law
WHAT THE BILL DOES
AI-writtenVoters should care about this bill because it aims to increase understanding of a complex and often opaque part of the healthcare system: the role of Pharmacy Benefit Managers (PBMs) in determining drug costs. PBMs negotiate drug prices and manage prescription benefits for millions of Americans, significantly influencing what patients pay at the pharmacy counter and how much pharmacies receive. Currently, much of this process is private, making it difficult to understand why drug prices vary.
If this bill becomes law, Congress and the public would gain access to official government analysis of PBM agreements, including their impact on patient costs and pharmacy payments. This transparency could inform future policy decisions aimed at lowering drug costs or ensuring fair reimbursement for pharmacies. Without this bill, these agreements would largely remain unexamined by an independent body, continuing the current lack of public insight into how these powerful entities operate and affect healthcare costs.
KEY PROVISIONS
3AI-extractedPROVISION 01
Requires MedPAC to submit an initial report on PBM agreements with Medicare drug plans.
This initiates the process of collecting and analyzing data on PBM practices, which are currently largely opaque.
PROVISION 02
The initial report must include an analysis of how PBM agreements affect plan enrollee out-of-pocket spending and average pharmacy reimbursement.
This provision directly addresses the financial impact of PBMs on both patients and pharmacies, which are key areas of public concern.
PROVISION 03
Requires MedPAC to submit a final report two years after the initial report, detailing changes over time and further recommendations.
This ensures ongoing monitoring and provides an updated view of trends and impacts, allowing for adaptive policy responses.
SPONSORSHIP
1 + 3
D· Virginia
YRS IN OFFICE
17
BILLS LED
59
COSPONSOR BREAKDOWNBIPARTISAN · 67%
DEM 1 REP 2 IND 0
ACTION TIMELINE
2 EVENTSJAN 29
Introduced in Senate
JAN 29
Read twice and referred to the Committee on Finance.
BILL INFO
TypeSenate Bill
NumberS 3729
Congress119th
StatusIn Committee
IntroducedJan 29, 2026
Last actionJan 29, 2026
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IN COMMITTEE· 119TH CONGRESS · FINANCE COMMITTEE · INTRODUCED JAN 29, 2026
Senate BillS 3729Health
PBM Reporting Transparency Act
INTRODUCED JAN 29, 2026· LAST ACTION JAN 29, 2026
PASSAGE CHANCES
—%
READING
2 min
COSPONSORS
3
COMPLEXITY
Moderate
