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

SF 2092: Relating to pharmacy benefits managers, pharmacies, and prescription drug benefits, and including applicability provisions

Became SF 2231 · Its progress continues under the new number.

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

Not listed

Cost

See the fiscal note

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…

Senate subcommittee · named January 27, 2022

  • Sen. Mike Klimesh (R) · mike.klimesh@legis.iowa.gov
  • Sen. Carrie Koelker (R) · carrie.koelker@legis.iowa.gov
  • Sen. Janet Petersen (D) · janet.petersen@legis.iowa.gov

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. January 24, 2022Filed in the Senate and sent to the Commerce committee
  2. January 27, 2022Senate subcommittee named: Klimesh, Koelker and Petersen
  3. February 1, 2022Subcommittee recommended passing it
  4. February 9, 2022Approved by the Senate committee, and given a new number: SF 2231

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/SF2092