Medicare drug plans must pick the cheapest pharmacy manager.
H.R. 10369 — Net Effective Cost Transparency and Prescription Drug Affordability Act of 2026 · Filed by Ryan Mackenzie (R-PA) · 4 cosponsors · Introduced Sep 14, 2026 · Referred to committee
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What it does
The bill makes Medicare drug plans use fair bidding to pick pharmacy managers. Plans must choose the lowest-cost bid unless they have a good reason. Pharmacy managers must promise their cost numbers are correct. Plans must check that actual drug costs match what they promised. Plans must report the numbers to the public.
Who it affects
Medicare members and people in regular health plans see what drug costs really are. Pharmacy managers face new rules about hiding costs and making extra profit.
One thing to notice
The bill lets pharmacy manager costs vary by up to 10 percent without penalty.
From the analysis of the bill text, linked under Primary records below.
Where it stands
4 cosponsors: 2 Democrats, 2 Republicans.
- Sep 14, 2026 — Introduced · Congress.gov: “Introduced in House”
- Sep 14, 2026 — Referred to House Committee on Education and Workforce and House Committee on Ways and Means · Congress.gov: “Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and…”
Dates and quoted wording are Congress.gov's action record; the timeline shows status changes, not every procedural step.
Words to know
- pharmacy managers — Companies that handle drug costs and coverage for health plans.
- bidding — A process where companies offer prices and plans pick the best one.
How this was measured
Analysis — Quorum's AI read the bill text published by Congress.gov (27,143 characters) on Sep 16, 2026. Section numbers in the findings refer to that text, linked below; transparency and hidden-provision scores are compared against the median of 16,778 analysed bills.
Status and sponsors — Congress.gov's bill record — actions, committee referrals and cosponsors — loaded nightly. The timeline shows status changes, not every procedural action.
As of — page rendered 2026-11-02.
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