Mr. Speaker, I rise today in strong support of President Trump's call to hold pharmacy benefit managers accountable for their role in driving up prescription drug prices. Currently, six PBMs control over 90 percent of the U.S. prescription drug market, and they are destroying independent pharmacies, especially in rural areas like Iowa. In fact, 25 independent pharmacies have closed in Iowa this year alone. The first legislation I passed on PBM reform and transparency was as a State senator in 2019. PBMs use tactics like spread pricing, where they charge insurers more than they reimburse pharmacies, and they pocket the difference. As a result, PBM profits have increased over 300 percent, while prescription drug prices have surged nearly 40 percent, far outpacing inflation. That is why I introduced the DRUG Act, bipartisan legislation that bans spread pricing, patient steering, and other harmful PBM practices. It is time for transparency and fairness in our healthcare system. Let's get started on President Trump's agenda and pass PBM reform now. Merry Christmas to People of Iowa
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