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United States · Bill · S

S. 1861 (116th)

Streamlining Part D Appeals Process Act

referredUnited States· United States Congress· EN

Introduced

13 June 2019

Last action

Status

Read twice and referred to the Committee on Finance.

Sponsors

Subjects

Discovery layer

Source updated

7 October 2025

Summary

Streamlining Part D Appeals Process Act This bill allows a Medicare beneficiary to directly appeal a pharmacy's refusal to fill a prescription as a coverage determination under the Medicare prescription drug benefit. Currently, if a pharmacy refuses to fill a prescription, the pharmacy provides the beneficiary with a notice explaining how to contact the beneficiary's prescription drug plan (PDP); the beneficiary must then obtain a written coverage determination (i.e., a decision denying coverage) from the PDP before initiating the appeals process.

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Documents

3 official files

Introduced in Senate (text)

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