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H.R.1142 / 119th Congress

To amend the Public Health Service Act to direct the Secretary of Health and Human Services to establish drug adherence guidelines, and for other purposes.

Referred to the House Committee on Energy and Commerce.

Official summary

Version 00 · Introduced in House · Feb 7, 2025

This bill requires the Centers for Medicare & Medicaid Services (CMS) to establish drug adherence guidelines for covered drugs under Medicare so as to achieve an adherence rate of 90%. The CMS must incorporate artificial intelligence and machine-learning technologies and promote generics and biosimilars when developing the guidance.

Read the summary on Congress.gov

Who introduced it

Rep. Schweikert, David [R-AZ-1] · R–AZ

Committees

  • Energy and Commerce Committee
0 cosponsorship records, including any withdrawals

    Actions

    A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.

    1. Referred to the House Committee on Energy and Commerce.

    2. Introduced in House

    3. Introduced in House

    Bill text & related measures

    Text links open the official source. We also preserved the text version used in the PlainBill explanation below.

    Related bills identified by Congress.gov

    No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.

    Source last updated: Jun 4, 2025. Consult Congress.gov for the current record.

    Explore the bill from different angles

    Choose a perspective, copy a prompt, and paste it into your preferred AI. Each prompt includes the bill version and available official source links, and asks for counterarguments as well as supporting evidence.

    Neutral evidence review

    Objective

    Analyze H.R.1142 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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    Fairness and public impact

    Progressive lens

    Examine H.R.1142 through a progressive lens, focusing on fairness, access, economic inequality, and effects on vulnerable communities. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and distinguish stated goals from demonstrated outcomes.

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    Institutions and government scope

    Conservative lens

    Examine H.R.1142 through a conservative lens, focusing on fiscal responsibility, institutional stability, federalism, and the scope of government. Explain potential benefits, costs, and unintended consequences. Consider the strongest counterarguments and any provisions that challenge this perspective.

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    Individual rights and government power

    Liberty lens

    Examine H.R.1142 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.

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    Read the proposal in plain language

    AI-generated · Source-checked by AI · Oct 29, 2026

    Based on the full Introduced in House · 2025-02-07 text. This explanation has not received human editorial review. This overview describes the proposal’s major provisions; it does not establish what its real-world effects would be.

    What it would do

    This proposal would require federal guidelines aimed at helping people take medicines as prescribed, with a goal of 90 percent adherence for all Medicare Part B and Part D drugs. The guidelines would incorporate artificial intelligence and machine learning and, as far as practicable, promote generic medicines and biosimilars—medicines similar to existing biological medicines. The 90 percent figure is a goal, not a guaranteed result.

    Check the sources
    (a) In general The Secretary shall establish drug adherence guidelines with the goal of achieving 90 percent adherence for all Medicare part B and D drugs.
    Official bill text · Introduced in House · 2025-02-07
    (b) Contents In establishing the guidelines under subsection (a), the Secretary shall— (1) incorporate artificial intelligence and machine learning technologies; and (2) to the maximum extent practicable, promote the use of generic and biosimilar drugs.
    Official bill text · Introduced in House · 2025-02-07

    How it would work

    Section 1 would add a new section 1712 to the Public Health Service Act. It would place responsibility for establishing the drug adherence guidelines on the Secretary.

    Check the sources
    Title XVII of the Public Health Service Act (42 U.S.C. 300u et seq.) is amended by inserting after section 1711 (42 U.S.C. 300u–16) the following: 1712. Establishment of drug adherence guidelines
    Official bill text · Introduced in House · 2025-02-07
    The Secretary shall establish drug adherence guidelines with the goal of achieving 90 percent adherence for all Medicare part B and D drugs.
    Official bill text · Introduced in House · 2025-02-07

    When establishing the guidelines, the Secretary would have to incorporate artificial intelligence and machine learning technologies—computer methods used to analyze information and learn patterns from data.

    Check the source
    (b) Contents In establishing the guidelines under subsection (a), the Secretary shall— (1) incorporate artificial intelligence and machine learning technologies;
    Official bill text · Introduced in House · 2025-02-07

    The Secretary would also have to promote generic and biosimilar drugs when establishing the guidelines, but only to the maximum extent practicable.

    Check the source
    (b) Contents In establishing the guidelines under subsection (a), the Secretary shall— (1) incorporate artificial intelligence and machine learning technologies; and (2) to the maximum extent practicable, promote the use of generic and biosimilar drugs.
    Official bill text · Introduced in House · 2025-02-07

    For these guidelines, a Medicare Part B drug would include any drug or biological product eligible for payment under Part B. A Medicare Part D drug would have the existing statutory meaning of a covered Part D drug.

    Check the sources
    (1) Medicare part b drug The term Medicare part B drug means a drug or biological product for which payment may be made under part B of title XVIII of the Social Security Act (42 U.S.C. 1395j et seq.).
    Official bill text · Introduced in House · 2025-02-07
    (2) Medicare part d drug The term Medicare part D drug means a covered part D drug (as defined in section 1860D–2(e) of the Social Security Act (42 U.S.C. 1395w–102(e))).
    Official bill text · Introduced in House · 2025-02-07

    What the record shows

    The supplied actions snapshot, updated June 4, 2025, records introduction in the House and referral to the House Committee on Energy and Commerce on February 7, 2025.

    Check the source
    Source snapshot updated 2025-06-04T19:11:16Z. 2025-02-07: Referred to the House Committee on Energy and Commerce. 2025-02-07: Introduced in House
    Official legislative record · 2025-06-04T19:11:16Z

    Riders & Targeted Benefits

    Reviewed version: Introduced in House · 2025-02-07. These findings describe provisions and who may benefit; they are not judgments of waste, corruption, or motive.

    This review covers the supplied bill text. “None identified” does not rule out provisions in later versions or accompanying reports and disclosures.

    Riders

    Provisions outside the bill’s main subject, or policy changes attached to appropriations.

    None identified in the reviewed text

    No unrelated provision or policy attached to appropriations was identified in the complete supplied introduced text. This conclusion is limited to that version and does not establish absence in other versions or accompanying materials.

    Earmarks

    Spending directed to particular recipients or places outside ordinary competitive or formula-based allocation.

    None identified in the reviewed text

    No congressionally directed spending for particular recipients or places was identified in the complete supplied introduced text. This conclusion is limited to that version; member disclosures and committee or conference materials were not supplied.

    Other targeted benefits

    Narrow exceptions, exemptions, or preferential treatment that warrant a closer look.

    None identified in the reviewed text

    No materially narrow carve-out, special exemption, or preferential exception was identified in the complete supplied introduced text. This conclusion is limited to that version and does not establish absence in other versions or accompanying materials.

    What this analysis cannot establish

    • This analysis concerns the supplied introduced version. The actions snapshot does not establish subsequent advancement or enactment; the provisions are described as proposed changes.
    • The text does not define how adherence would be measured or specify how artificial intelligence and machine learning would be used.
    • The text supplies no implementation deadline, termination condition, enforcement mechanism, or explicit funding amount.
    • The referenced provisions of existing law are not reproduced, limiting assessment of the surrounding statutory framework and the precise scope of covered Part D drugs.

    Full text preserved for this analysis. Legislative record snapshot: Jun 4, 2025. How PlainBill uses AI