PBMs that manage drug benefits for job-based health plans would have to act in the plan's best interest under federal benefits law. They would also have to give more pay details, and contracts could not shield them from fiduciary liability. The rules would start with plan years that begin at least 12 months after the bill becomes law.
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.
PBM FAIR Act is a Senate bill in committee. The latest recorded action: Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Latest action on S. 3549: Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
Who this affects: This bill mainly affects employers and unions that sponsor group health plans, the workers and family members in those plans, and the PBMs and outside administrators that help run them. Employers and unions could face more oversight work and may need to rewrite contracts. PBMs and some third-party administrators would face stricter legal duties and more disclosure rules. Workers and families could feel the effects through changes in drug coverage, pharmacy networks, and how plan drug benefits are managed.
Why this matters: This matters because PBMs make key choices that shape how prescription drug benefits work in many job-based health plans, and this bill would hold them to a stricter legal duty. It could change how PBMs handle drug coverage, pharmacy networks, rebates, and claims. It could also give employers and plan administrators a clearer view of PBM and administrator payments. The bill increases accountability, but it does not guarantee lower drug prices or lower out-of-pocket costs.
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: PBM FAIR Act
PBMs that manage drug benefits for job-based health plans would have to act in the plan's best interest under federal benefits law. They would also have to give more pay details, and contracts could not shield them from fiduciary liability. The rules would start with plan years that begin at least 12 months after the bill becomes law.
Use this page to support, oppose, or ask Congress to amend S3549. 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 Health
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 Health, Education, Labor, and Pensions. (12/17/2025)
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 PBM FAIR 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 S3549, your stance, and the reasons you choose, then lets you edit and send when ready.
