"The Patients Before Middlemen Act would increase transparency and reduce prescription drug costs for seniors at the pharmacy counter."
Introduce and support legislation to reduce prescription drug costs by reforming pharmacy benefit manager compensation and requiring fair pharmacy contracts in Medicare Part D.
Occurrences
Evidence
Sen. Blackburn’s office said she joined the introduction of the Patients Before Middlemen Act. The release says the bill would separate PBM pay from drug prices and utilization and require Medicare Part D plans to contract with any willing pharmacy meeting reasonable terms.
The bill text states that Mrs. Blackburn introduced legislation to assure pharmacy access and choice and to establish requirements for pharmacy benefit managers under Medicare Part D.
Blackburn's official Senate release says she, Hassan, Warner, and Lankford introduced the Patients Before Middlemen Act, describing it as delinking PBM compensation from drug price and use and requiring Medicare Part D plans to contract with any willing pharmacy on reasonable terms.
The bill text names Mrs. Blackburn as an introducer and states the bill would amend Social Security Act Medicare Part D provisions on pharmacy access, choice, and PBM requirements. It requires any willing pharmacy participation under standard terms and requires contract terms to be reasonable and relevant.
Section 3 of the bill creates Medicare Part D requirements for PBMs, limiting PBM and affiliate remuneration to bona fide service fees, treating qualifying incentive payments as flat-dollar, fair-market-value service fees, and requiring pass-through treatment for rebates and discounts.
Assessments
Blackburn fulfilled the promise as framed because it required introducing and supporting legislation, not securing enactment. During her current Senate term, she was named as an introducer of the Patients Before Middlemen Act, which addressed both promised elements: Medicare Part D PBM compensation reform and fair pharmacy contracting or any-willing-pharmacy terms.
The promise was to introduce and support legislation on two specific Medicare Part D pharmacy-benefit-manager reforms: changing PBM compensation incentives and requiring fair or any-willing-pharmacy style contracting. The provided evidence shows Marsha Blackburn joined the introduction of the Patients Before Middlemen Act on March 6, 2025, and that the bill text itself included those core provisions. Because this claim is framed around introducing and supporting legislation rather than securing final enactment, her sponsorship and advocacy are sufficient to count the promise as fulfilled in the same term.