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Contact Congress about H.R. 4712: Patient Right to Shop Act

Health plans could not use pharmacy benefit manager contracts that block outside drug price tools. Those tools would show patients their costs under insurance, cash prices, and mail-order options.

Modern Action explains legislation in plain English, helps you choose whether to support, oppose, or ask for changes, and drafts a message tied to the bill, your stance, and the elected officials who can act on it.

Patient Right to Shop Act is a House bill in Congress.

Who this affects: This bill mainly affects people with group health coverage, the health plans that cover them, insurers, PBMs, and companies that build drug price tools. Patients could see clearer drug price choices before filling prescriptions. Health plans, insurers, and PBMs would need to review contracts and data access rules. Tool providers could get more room to build price comparison tools, but they would still have to follow federal health privacy rules.

Why this matters: Many insured patients do not know the real price of a prescription until they try to fill it. This bill tries to make prices easier to compare before that point. If the tools work well, some patients may find lower-cost options through insurance, cash payment, or mail-order pharmacy benefits. The bill could also change how PBMs and health plans write contracts. Its real effect on drug costs, premiums, and patient choices would depend on future rules and how the industry responds.

Key provisions in H.R. 4712

  • The bill applies to group health plans and insurers that use PBMs. PBMs, or pharmacy benefit managers, help run prescription drug benefits.
  • Plans and insurers could not sign PBM contracts that block approved outside price tools. This includes contract terms, conditions, or fees that stop the tool from getting or using needed information.
  • The price tools must show patients the costs for covered prescription drugs. That includes out-of-pocket costs, copays, coinsurance, cash prices, and mail-order pharmacy options.
  • The outside tool provider must have a formal privacy role under federal health privacy rules. It must be a HIPAA business associate under contract with the plan or insurer.
  • The bill adds the same basic rule to three federal laws. Those laws are the Public Health Service Act, ERISA for employer benefit plans, and the Internal Revenue Code.

How Modern Action helps you take action on H.R. 4712

You do not have to start with a blank letter. Modern Action turns the bill, your position, and the relevant congressional context into a message you can edit and send. The goal is to make contacting Congress clear, specific, and useful without forcing you to parse bill text or figure out the right office on your own.

Questions people ask about H.R. 4712

What is H.R. 4712?
Health plans could not use pharmacy benefit manager contracts that block outside drug price tools. Those tools would show patients their costs under insurance, cash prices, and mail-order options.
How do I support or oppose H.R. 4712?
Choose support, oppose, or ask for changes on Modern Action. The action flow drafts the message for you and keeps the wording tied to this bill.
Who should I contact about H.R. 4712?
Modern Action uses your location to route the action to the congressional offices relevant to the bill and your representation.
Can Modern Action explain H.R. 4712 before I act?
Yes. Modern Action gives you a plain-English summary, current status, and action context before you send anything.