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Federal Efforts to Regulate PBMs In February 2026, Congress enacted legislation that will address some PBM business practices, including: Delinking PBM compensation from the price of a drug, or any rebates or discounts that they negotiate for drug plans under Medicare Part D and instead basing compensation on a bona fide service fee, which will be a flat dollar amount that reflects the fair market value of services provided by PBMs, beginning January 1, 2028