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89th General Assembly · Funnel one-pager · Monday, November 9, 2026

HF 2384: Relating to pharmacy benefits managers, pharmacies, and prescription drug benefits, and including effective date and applicability provisions

Signed into law

What it does

This bill relates to pharmacy benefits managers (PBM), pharmacies, and prescription drug benefits. The bill provides that a PBM owes a fiduciary duty to each health carrier (carrier) for whom the PBM manages a prescription drug benefit (drug benefit) provided by the carrier, and shall discharge its duties in accordance with applicable state and federal law. The bill also provides that a carrier shall owe a fiduciary duty to each covered person participating in a health benefit plan (benefit plan) offered or issued by the carrier, and the carrier shall discharge its duties in accordance with applicable state and federal law.

Sponsors

Commerce committee

Cost

Cost: up to $110,000

0 FTE positions. This cost is for an Insurance Market Complaint Analyst FTE position to process complaints as received, with a total cost of approximately $110,000, and an Insurance Compliance Analyst FTE position, with a total cost of approximately $90,000, f…

Lobbying · 15 for, 22 against

For: ARJ Infusion Services, Inc.; Bayer U.S. LLC; Broadlawns Medical Center; Genesis Health System; Hy-Vee, Inc.; Iowa Biotechnology Association; Iowa Board of Pharmacy; Iowa Chapter of the National Association of Pediatric Nurse Practitioners; Iowa Hospital Association; Johnson & Johnson Services, Inc.; Merck Sharp & Dohme Corp.; National Alliance on Mental Illness - Iowa; and 3 more

Against: ARJ Infusion Services, Inc.; American Property Casualty Insurance Association (APCIA); CVS Health; Casey's General Stores; City of Des Moines; FUELIowa (PMCI); Fareway Stores, Inc.; Iowa Association of Business and Industry (ABI); Iowa Association of Electric Cooperatives; Iowa Bankers Association; Iowa Bankers Insurance & Services, Inc.; Iowa Business Council; and 10 more

In plain words

  1. February 14, 2022Filed in the House
  2. March 1, 2022Cost estimate (fiscal note) posted
  3. March 23, 2022Passed the House, 96–0
  4. March 24, 2022Arrived in the Senate
  5. April 5, 2022Cost estimate (fiscal note) posted
  6. May 24, 2022Took the place of SF 2231 on the Senate floor (the same legislation)
  7. May 24, 2022Passed the Senate, 44–0
  8. May 24, 2022Passed the House, 93–0
  9. June 3, 2022Sent to the Governor
  10. June 13, 2022Signed into law
  11. June 27, 2022Cost estimate (fiscal note) posted

From public records at legis.iowa.gov, compiled by Funnel (iowafunnel.com), an independent, nonpartisan site. Current as of Monday, November 9, 2026. https://iowafunnel.com/bills/89/HF2384