Ensuring PBM Competition Act

This bill prohibits the U.S. Department of Health and Human Services from entering or renewing contracts with Medicare Part D drug plan sponsors that have contracts with pharmacy benefits managers (PBMs) owning or controlling pharmacies. It directly affects Medicare Part D plan sponsors and PBMs with financial ties to pharmacies, banning such sponsor-PBM contracts starting 5 years after enactment (with a possible 2-year delay). The key mechanism requires the Secretary to exclude these sponsors from Medicare drug plans, aiming to reduce conflicts of interest where PBMs control both pharmacy networks and drug pricing.