Read twice and referred to the Committee on Finance.
Congressional Research Service
Official summary
Version 00 · Introduced in Senate · Apr 27, 2006
Pharmacy Access Improvement (PhAIm) Act of 2006 - Amends part D (Voluntary Prescription Drug Benefit Program ) of title XVIII (Medicare) of the Social Security Act (SSA) with respect to participating pharmacies and standards for access to them. Requires that such standards ensure that enrollees residing in long-term care facilities have access to a long-term care network pharmacy.
Requires prompt payment of clean claims to pharmacies by prescription drug plans (PDPs) and Medicare Advantage prescription drug plans (MA-PD Plans) Defines prompt payment as within 14 days from submission for claims submitted electronically, and within 30 days for claims submitted otherwise. Requires payment of interest, also, if a payment is not issued, mailed, or otherwise transmitted within the applicable number of calendar days.
Directs the Secretary of Health and Human Services to establish a 24-hour toll-free telephone number dedicated to providing Medicare prescription drug benefit information to pharmacists and pharmacy staff.
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Amends SSA title XVIII to require PDP sponsors to establish toll-free pharmacy and physician and provider hotlines.
Requires a PDP sponsor to utilize standardized technology for any communication or transaction occurring between the PDP and a participating pharmacy.
Prohibits a Medicare prescription drug card issued by a PDP sponsor from displaying the name, brand, logo, or trademark (co-branding) of any pharmacy.
Provides for submission of claims by pharmacies located in or contracting with long-term care facilities.
Requires the Secretary to establish reasonable dispensing fees for covered Medicare part D drugs dispensed through participating pharmacies.
Requires a PDP sponsor to encourage generic utilization by paying an increased dispensing fee for generic drugs.
Source last updated: Aug 15, 2025. Consult Congress.gov for the current record.
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