H.R. 10549 — Patients Choice in Specialty Pharmacy Act

This section prohibits group health plans (other than self-insured plans) and health insurance issuers offering group or individual coverage from steering enrollees to affiliated specialty pharmacies through higher cost sharing, financial incentives, or administrative burdens. It also bars such plans and issuers from excluding qualified specialty pharmacies from their networks, effective for plan years beginning on or after January 1, 2029.