I 
119TH CONGRESS 
1ST SESSION H. R. 6400 
To amend title 10, United States Code, to improve access to certain 
medications under the TRICARE program, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 3, 2025 
Mrs. KIGGANS of Virginia (for herself, Ms. GOODLANDER, Mr. LUTTRELL, 
and Ms. HOULAHAN) introduced the following bill; which was referred to 
the Committee on Armed Services 
A BILL 
To amend title 10, United States Code, to improve access 
to certain medications under the TRICARE program, 
and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Rx Access, Choice, 
Cost Equity, and Supply Stability Act’’ or the ‘‘Rx AC-
CESS Act’’. 
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SEC. 2. IMPROVEMENTS RELATING TO ACCESS, FAIRNESS, 
AND TRANSPARENCY UNDER TRICARE PHAR-
MACY BENEFITS PROGRAM. 
(a) BENEFICIARY ELECTION OF PRESCRIPTION RE-
FILL MEANS.—Section 1074g(a)(9) of title 10, United 
States Code, is amended— 
(1) in subparagraph (A), by inserting ‘‘, and 
ending on October 1, 2026’’ after ‘‘Beginning on Oc-
tober 1, 2015’’; and 
(2) by adding at the end the following new sub-
paragraph: 
‘‘(D) Beginning on October 1, 2026, an eligible cov-
ered beneficiary may elect to receive non-generic prescrip-
tion maintenance medications through any means de-
scribed in paragraph (2)(E).’’. 
(b) PHARMACY BENEFIT MANAGER REIMBURSE-
MENT
STANDARDS; INDEPENDENT
AUDITS.—Section 
1074g of title 10, United States Code, as amended by sub-
section (a), is further amended— 
(1) by redesignating subsections (i) and (j) as 
subsections (j) and (k), respectively; and 
(2) by inserting after subsection (h) the fol-
lowing new subsection: 
‘‘(i) PHARMACY BENEFIT MANAGER REIMBURSE-
MENT STANDARDS.—(1) The Secretary of Defense shall 
ensure that, as a condition of any contract entered into 
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for the administration of the TRICARE pharmacy bene-
fits program, reimbursement to a TRICARE retail phar-
macy described in subsection (a)(2)(E)(ii) for a pharma-
ceutical agent provided under such program shall be an 
amount that is at least equal to the sum of— 
‘‘(A) either— 
‘‘(i) the actual cost to the pharmacy of ac-
quiring such pharmaceutical agent from a 
wholesaler, or 
‘‘(ii) in the case of a pharmaceutical agent 
included on the national average drug acquisi-
tion 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 ac-
quisition cost for such pharmaceutical agent, as 
identified on such cost index as of the date of 
the adjudication of the claim for such reim-
bursement, and 
‘‘(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. 
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‘‘(2) 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. 
‘‘(3)(A) Not less frequently than annually, the Comp-
troller General of the United States— 
‘‘(i) shall conduct an audit of— 
‘‘(I) data reported by the contractor re-
sponsible 
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 cov-
ered beneficiaries to such network, including 
with respect to continuity of care, geographic 
accessibility (taking into account factors in ad-
dition to travel time to and from a pharmacy, 
with special consideration for rural and under-
served areas), and the extent to which elections 
by such beneficiaries under subsection (a)(9) re-
flect personal preference; and 
‘‘(ii) submit the results of such audit to the 
Committees on Armed Services of the House of Rep-
resentatives and the Senate. 
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