United States 119th Congress Status: In Committee Bipartisan · 11 R · 7 D cosponsors

HR 6400 — Rx ACCESS Act

Last action — Referred to the House Committee on Armed Services.

  1. ✓
    Introduced
  2. 2
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill is in committee in the House. Introduced December 03, 2025. It must pass committee before a floor vote.

Next likely step: a committee vote, then a floor vote in the House.

Odds of enactment

Low chance

Based on the sponsor, cosponsors, and committee posture, this bill has a low chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 42% · moderate confidence

  • In Committee

    Current position in the legislative process.

  • 18 sponsors

    1 primary, 17 co-sponsors signed on.

  • Bipartisan support

    Sponsored across 2 parties (11 R · 7 D) — cross-party backing.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

In plain language

The bill involves actions related to military services and defense.

This bill has been introduced to the House, focusing on military services and defense matters. It has been referred to the appropriate committee for further consideration.

Bill Text

How this bill changes current law

5 changes Share ↗

Compared against current U.S. Code AI-generated reading aid — verify against the official bill.

The bill amends the TRICARE pharmacy benefits program to enhance access and reimbursement standards for pharmacies.

  • 10 U.S.C. § 1074g

    Beginning on October 1, 2026, an eligible covered beneficiary may elect to receive non-generic prescription maintenance medications through any means described in paragraph (2)(E).

    Introduces an option for beneficiaries to receive non-generic prescription medications through various means starting October 1, 2026.

  • 10 U.S.C. § 1074g

    The Secretary of Defense shall ensure that, as a condition of any contract entered into for the administration of the TRICARE pharmacy benefits program, reimbursement to a TRICARE retail pharmacy described in subsection (a)(2)(E)(ii) for a pharmaceutical agent provided under such program shall be an amount that is at least equal to the sum of--\n(A) either--\n(i) the actual cost to the pharmacy of acquiring such pharmaceutical agent from a wholesaler, or\n(ii) in the case of a pharmaceutical agent included on the national average drug acquisition cost index published by the Administrator for the Centers for Medicare and Medicaid Services, a proxy amount calculated at a rate that is not lower than the national average acquisition cost for such pharmaceutical agent, as identified on such cost index as of the date of the adjudication of the claim for such reimbursement, and\n(B) a professional dispensing fee that is equal to the professional dispensing fee paid by the State in which the pharmacy is located under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) for dispensing a prescription drug.

    Establishes new reimbursement standards for retail pharmacies participating in the TRICARE program based on actual costs and professional fees.

  • 10 U.S.C. § 1074g

    The contractor administering the TRICARE pharmacy benefits program may not impose any fees on a TRICARE retail pharmacy, including point-of-sale fees, retroactive fees, or other indirect or hidden fees.

    Prohibits fees imposed on pharmacies which could affect their reimbursement for providing medications.

  • 10 U.S.C. § 1074g

    Not less frequently than annually, the Comptroller General of the United States-- (i) shall conduct an audit of-- (I) data reported by the contractor responsible for the administration of the TRICARE pharmacy benefits program relating to the rates of reimbursement under paragraph (1) and any price concessions; and (II) the adequacy of the TRICARE retail pharmacy network and access by eligible covered beneficiaries to such network, including with respect to continuity of care, geographic accessibility (taking into account factors in addition to travel time to and from a pharmacy, with special consideration for rural and underserved areas), and the extent to which elections by such beneficiaries under subsection (a)(9) reflect personal preference; and (ii) submit the results of such audit to the Committees on Armed Services of the House of Representatives and the Senate.

    Mandates annual audits of the TRICARE pharmacy benefits program to ensure proper reimbursement practices and assess access to pharmacies.

  • 10 U.S.C. § 1074g

    The Secretary shall ensure that, as a condition of any contract entered into for the administration of the TRICARE pharmacy benefits program, the contractor provides the Comptroller General information required to conduct the audit under subparagraph (A).

    Requires contractors to give necessary information for audits to ensure transparency and compliance in the TRICARE pharmacy benefits program.

Action History

  1. Introduced in House

  2. Introduced in House

  3. Referred to the House Committee on Armed Services.

Sponsors

Sponsorship breakdown

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1 sponsors · 17 co-sponsors · 529 not signed on

Sponsors (1)

Co-sponsors (17)

Not signed on (529)

529 members have not signed on to this bill.

Show all 529 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Subjects

veterans healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HR 6400?
HR 6400 is sponsored by Kiggans, Jennifer A. (Republican), Goodlander, Maggie (Democratic), Luttrell, Morgan (Republican), Houlahan, Chrissy (Democratic), Mills, Cory (Republican), Davis, Donald G. (Democratic), Sorensen, Eric (Democratic), Lee, Susie (Democratic), Harris, Andy (Republican), Turner, Michael R. (Republican), Van Orden, Derrick (Republican), Norton, Eleanor Holmes (Democratic), Westerman, Bruce (Republican), Kennedy, Timothy M. (Democratic), Pfluger, August (Republican), Langworthy, Nicholas A. (Republican), Gooden, Lance (Republican), and Lawler, Michael (Republican).
What is the current status of HR 6400?
This bill is in committee in the House. Introduced December 03, 2025. It must pass committee before a floor vote.
Where can I track HR 6400?
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