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Home / Resources / Key Resources / Blog

Bill Would Break Up Vertically Integrated Health Care Companies

March 19, 2026

Senators Elizabeth Warren (D-MA) and Josh Hawley (R-MO) have introduced legislation intended to address consolidation in the health care industry.

The (S. 3822), would:

  • Prohibit a parent company from owning a medical provider or management services organization and a pharmacy benefit manager or an insurer; and
  • Prohibit a parent company of a prescription drug or medical device wholesaler from owning a medical provider or management services organization.

According to the , the top three pharmacy benefit managers (PBMs)—CVS Caremark, Express Scripts, and OptumRx—manage 79 percent of prescription drug claims. These PBMs are also part of corporate health care conglomerates that also own and operate some of the nation’s largest health insurance companies.

Read the press release .
Read the fact sheet .

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