Lawmakers are working on bipartisan legislation that addresses some of the abusive practices pharmacy benefit managers (PBMs) use to pad their profits at the expense of patients.

PBMs work with insurance companies to decide what medicines patients can get and how much people pay out of pocket.

We need your help to keep up the pressure on Congress to pass strong PBM reform this year.

Just three PBMs control 80% of the market. They rely on opaque business practices that experts warn can lead to higher costs for patients.

For example, they collect exorbitant fees tied to the price of medicines, which means they can benefit more from preferring higher-price medicines, even though that may mean higher costs for patients.

A recent analysis found the share of PBM profits from these fees paid by pharmacies, employers and other entities increased 300% over the last decade.

To rein in these powerful middlemen, Democrat and Republican senators have introduced the Delinking Revenue from Unfair Gouging Act (S. 1542).

The bill would end incentives that experts have noted may drive PBMs to prefer higher-priced medicines when cheaper versions are available. Instead, PBMs would be required to charge flat fees based on the services they provide, making the system more competitive, transparent and affordable.

As momentum grows in Congress to address PBM abuses, middlemen are doing everything they can to stop these commonsense changes. According to one media report, the PBM industry is spending record amounts on lobbying to defeat these reforms. That’s why we need your help.

Time is running out to hold these middlemen accountable. Contact your U.S. Senators today and urge them to cosponsor and pass S. 1542. By building support for the bill, you can help make sure strong PBM reform legislation passes this year.