Story perspectives

Congress Pushes PBM Reforms Amid Rising Drug Prices

1/22/2026

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Summary

Story summary

Congress is pushing bipartisan reforms to pharmacy benefit managers (PBMs) as part of a health care funding package to boost transparency.
The measures target PBMs amid scrutiny of their role in rising drug prices.
The effort faces resistance from powerful lobbyists and conservative hard-liners.
Democrats accuse Republicans of inaction on extending Affordable Care Act subsidies, while some Republicans seek alignment with U.S. President Donald Trump on PBM reforms.

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Story summary

Congress is pushing bipartisan reforms to pharmacy benefit managers (PBMs) as part of a health care funding package to boost transparency.
The measures target PBMs amid scrutiny of their role in rising drug prices.
The effort faces resistance from powerful lobbyists and conservative hard-liners.
Democrats accuse Republicans of inaction on extending Affordable Care Act subsidies, while some Republicans seek alignment with U.S. President Donald Trump on PBM reforms.