Some Medicare drug plans would have to pay long-term care pharmacies an extra fee for certain prescriptions in 2026 and 2027. Medicare would repay plans later, and a federal study would look at whether these pharmacies can stay financially stable.
Modern Action explains what the legislation does, 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.
Preserving Patient Access to Long-Term Care Pharmacies Act is a Senate bill in committee. The latest recorded action: Read twice and referred to the Committee on Finance.
Latest action on S. 3159: Read twice and referred to the Committee on Finance.
Who this affects: This bill mainly affects long-term care pharmacies first, because it changes how they get paid for some Medicare Part D prescriptions. It also directly affects Medicare drug plans, which must make the new payments up front and wait for Medicare to repay them later. People living in nursing homes and similar settings could be affected if payment changes help keep pharmacy service available where they live. Congress and federal health officials would also get a study on whether the current payment system is strong enough to last.
Why this matters: This bill matters because long-term care pharmacies have costs that go beyond handing out pills, and payment changes in Medicare can affect whether they can keep serving nursing homes and similar facilities. The bill tries to give those pharmacies short-term financial help without making plans absorb the full cost forever, because Medicare would repay the plans later. It also adds penalties to push plans to actually make the required payments. Still, the bill does not say what the final effect would be on federal spending, plan premiums, or how many pharmacies stay in the program.
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.
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Officially: Preserving Patient Access to Long-Term Care Pharmacies Act
Some Medicare drug plans would have to pay long-term care pharmacies an extra fee for certain prescriptions in 2026 and 2027. Medicare would repay plans later, and a federal study would look at whether these pharmacies can stay financially stable.
Use this page to support, oppose, or ask Congress to amend S3159. Modern Action explains what the bill does, helps identify the right senators or representative, and drafts a bill-specific message you can edit and send.
Where it stands
Sitting in Finance
No vote scheduled. Constituent contact is what moves bills out of committee.
↓ Why your message matters here
This bill is sitting in committee with no scheduled vote — which means a small number of constituent messages can decide whether it moves forward or quietly dies.
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Where this bill is in the process
Introduced
Introduced in Senate
Senate Committee
Under Senate committee consideration
Latest: Read twice and referred to the Committee on Finance. (11/7/2025)
Senate Floor Vote
Voted on by Senate
Passed Senate
Approved by Senate
House Review
Sent to House for consideration
Passed Both Chambers
Approved by both House and Senate
Signed into Law
Signed by the President
For more detail
Choose one clear position: support, oppose, or amend. Then pick any reasons or personal context you want included. Modern Action uses that input and the bill context to draft a message you can edit and send.
Congressional offices prioritize messages from their own constituents. Modern Action uses your address to route the drafted message to your senators when that is the most relevant target for this bill.
The draft includes the bill number, your position, the reasons you selected, any personal context you added, and a direct ask such as voting yes, voting no, cosponsoring, opposing, or seeking changes. You stay in control because you can edit the message before sending.
This page gives you an opportunity to support, oppose, or ask for changes to Preserving Patient Access to Long-Term Care Pharmacies Act, then contact the elected officials who can act. Modern Action drafts the message from your position and the reasons you select.
Modern Action keeps the action tied to the bill itself: what it does, where it is in the process (committee), which office can still act, and what ask belongs in the message.
You are not starting from a blank form. Modern Action drafts the message around S3159, your stance, and the reasons you choose, then lets you edit and send when ready.
