S 4323 United States Senate · 119th Congress

Ensuring Access to Lower-Cost Medicines for Seniors Act

Summary
Ensuring Access to Lower-Cost Medicines for Seniors Act This bill requires prescription drug plans under the Medicare prescription drug benefit to include generic drugs and biosimilars on their formularies. Specifically, the bill requires plans that use formularies to include generic drugs and biosimilars on the formularies and without any requirements (e.g., prior authorization requirements) that are more restrictive as compared to those for brand-name drugs and biologics. Plans that use cost-sharing tiers must also have specific tiers for generic drugs and biosimilars, in accordance with certain limitations.
Bill status in committee 1 of 4 stages cleared
Introduction
Apr 2026
Committee Review
Floor Vote
President
Introduced Apr 16, 2026 Last action Apr 16, 2026
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Full legislative history

Actions timeline

Total actions
2
Key actions
0
Committee
1
Apr 16, 2026
Committee
Read twice and referred to the Committee on Finance.
upper
Apr 16, 2026
Introduced
Introduced in Senate
upper
1 primary · 2 co-sponsors

Sponsors