Patients Rising, along with 50 other patient groups, sent a letter to Senate Leadership urging support for the health care provided through private employers to 179 million Americans by enacting strong pharmacy benefit manager (PBM) reforms this year. It is imperative that affordable, private-sector health benefits continue to be provided to America’s workforce and that the health, well-being, and productivity of American citizens is protected. Rising health prices are an unsustainable trend for everyone and employers are bracing for even greater costs in 2024.1 For the reasons described in the letter, the systemic market failure creating this problem cannot be fixed by the private sector alone and congressional action is necessary.