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Consolidated Appropriations Act, 2026Section 6223 › Proposal

An essential retail pharmacy is the only one within a set distance

Making further consolidated appropriations for the fiscal year ending September 30, 2026, and for other purposes, section 6223, Sec. 6223. Written by .

An essential retail pharmacy is the only one within a set distance

The document says “meansWho acts: CongressHow: statuteSec. 6223 in the PDF
What the document says

“``(i) a rural area in which there is no other retail pharmacy within 10 miles, as determined by the Secretary; ``(ii) a suburban area in which there is no other retail pharmacy within 2 miles, as determined by the Secretary; or ``(iii) an urban area in which there is no other retail pharmacy within 1 mile, as determined by the Secretary.”

Making further consolidated appropriations for the fiscal year ending September 30, 2026, and for other purposes, Sec. 6223

The new subsection defines essential retail pharmacy as a retail pharmacy that is not an affiliate as defined in paragraph (4) and that stands alone within 10 miles in a rural area, 2 miles in a suburban area, or 1 mile in an urban area, as the Secretary determines. Affiliate and pharmacy benefit manager take their meaning from section 1860D-12(h)(7).

What the document actually says

“``(i) a rural area in which there is no other retail pharmacy within 10 miles, as determined by the Secretary; ``(ii) a suburban area in which there is no other retail pharmacy within 2 miles, as determined by the Secretary; or ``(iii) an urban area in which there is no other retail pharmacy within 1 mile, as determined by the Secretary.”

Making further consolidated appropriations for the fiscal year ending September 30, 2026, and for other purposes, Sec. 6223
That sentence, in plain words

In the country, no other pharmacy within ten miles. In the suburbs, none within two miles. In a city, none within one mile.

What this is about

These are the pharmacies with no near rival. If one closes, its customers must travel. The pharmacy must also not be tied to a plan.

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