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HR 6580 United States House · 119th Congress

VA National Formulary Act of 2025

The VA National Formulary Act of 2025 creates a single, uniform list of drugs available at all VA medical facilities, replacing any local drug lists. It establishes a Pharmacy and Therapeutics Committee to make evidence-based decisions on drug inclusion (reviewing new FDA-approved drugs within 120 days) and sets up a 96-hour timeline for processing veterans' requests for nonformulary drugs. The VA must report annual formulary changes to Congress and implement a tiered copayment system that lowers costs for formulary drugs. The bill also includes provisions for negotiating drug discounts and value-based agreements to achieve cost savings.
Issues: ✓ HealthcareSupports HealthcareCreates uniform VA drug formulary with evidence-based decisions and faster processing for nonformulary drugs, improving veterans' medication access and system consistency.95% confidence ✓ VeteransSupports VeteransCreates uniform drug access, 120-day FDA review, 96-hour nonformulary processing - directly improves VA healthcare access and consistency for veterans.95% confidence
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
President
Introduced Dec 10, 2025 Last action May 20, 2026
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
4
Key actions
2
Committee
3
May 20, 2026
Lower · Passed
Committee Hearings Held
lower
Mar 18, 2026
Lower · Passed
Committee Hearings Held
lower
Dec 10, 2025
Committee
Referred to the House Committee on Veterans' Affairs.
lower
Dec 10, 2025
Introduced
Introduced in House
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Mariannette Miller-Meeks
Mariannette Miller-Meeks
RRepublican
IA
1