The Protecting Pharmacies in Medicaid Act aims to enhance the accuracy of payments to pharmacies under the Medicaid program and address harmful pricing practices, particularly spread pricing. Spread pricing occurs when pharmacy benefit managers (PBMs) charge Medicaid more for a drug than what they reimburse the pharmacy, leading to inflated costs for the program. Key provisions of the Act require the Secretary of Health and Human Services to conduct regular surveys to determine the actual acquisition costs of drugs for both retail and non-retail pharmacies.