Federal News
House Committee Investigates PBM Practices in Alabama
March 19, 2026
Congressmen Robert Aderholt and James Comer are advancing an investigation into pharmacy benefit managers (PBMs) with a focus on protecting patient care and ensuring fair reimbursement for independent pharmacies, particularly in rural Alabama. They are urging the Centers for Medicare & Medicaid Services (CMS) to implement bipartisan reforms aimed at preventing PBM abuses that have contributed to pharmacy closures and reduced medication access in the region.
- The investigation highlights financial pressures on independent pharmacies caused by PBM reimbursement practices, which procurement professionals should consider when evaluating pharmacy services and contract terms.
- CMS may introduce regulatory reforms impacting pharmacy benefit management contracts, requiring contractors to adapt to new compliance and reimbursement standards.
- Procurement and contracting officers in healthcare and pharmaceutical sectors should assess potential changes in PBM-related procurement policies that could affect service delivery and vendor selection.
- Industry stakeholders serving rural healthcare markets in Alabama and similar regions may find emerging opportunities or risks as reforms seek to stabilize pharmacy access and reimbursement fairness.
In her heartfelt piece, Brooke Walker made clear what I’ve been hearing across our district, independent pharmacists are being pushed to the brink by unfair reimbursement practices. These pharmacies are more than businesses; they are lifelines for our rural communities.
— Robert Aderholt
The House Oversight Committee exposed how the three largest PBMs colluded to line their own pockets. These self-benefitting pricing tactics have done nothing but jeopardize patient care, undermine local pharmacies, and raise prescription drug prices.
— James Comer
Agencies
Centers for Medicare & Medicaid Services, House Committee on Oversight and Government Reform