Bills › 90th General Assembly
Relating to pharmacy benefits managers, pharmacies, and prescription drug benefits, and including applicability provisions
Where it is now
- Done: IntroducedFebruary 13, 2024
- Stopped: SubcommitteeDied when the General Assembly ended
- Next: House committee
- Next: Passes the House
- Next: Senate committee
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Died when the session ended The 2024 session adjourned on April 19, 2024, the General Assembly’s last regular session. Bills that didn’t pass both chambers died. What’s a funnel?
What’s in it
AI summary Pharmacy benefit managers would be prohibited from forcing people to use mail-order pharmacies or charging different fees based on which pharmacy a person chooses. Any money a person pays for their medicine must count toward their health plan's deductible. Additionally, people can fill prescriptions at any pharmacy in Iowa as long as that pharmacy follows the same rules as their insurance plan.1
Read the official explanation
This bill relates to pharmacy benefits managers (PBM), pharmacies, and prescription drug benefits. The bill requires that any amount paid by a covered person for a drug in the circumstances detailed in the bill must be applied to any deductible imposed by the covered person’s health benefit plan in accordance with the plan’s coverage documents. Under the bill, a covered person cannot be prohibited from filling a drug order at any pharmacy located in the state if the pharmacy accepts the same terms and conditions as the covered person’s benefit plan. A PBM cannot impose different cost-sharing or additional fees on a covered person based on the pharmacy at which a covered person fills their prescription. A PBM cannot require a covered person, as a condition of payment or reimbursement, to purchase pharmacy services, including drugs, exclusively through a mail order pharmacy provider. “Mail order pharmacy provider” is defined in the bill. The bill applies to PBMs that manage a health carrier’s prescription drug benefit in the state on or after the effective date of the bill.
Iowa Code it changes
Lobbying
0 for · 1 against · 1 undecided · Who →
Family tree
90th General Assembly
Picked up later
Earlier and later bills are matched by wording or an identical title.
Tried before
This idea has been filed in an earlier General Assembly. None got through a chamber.
- HF 729 Relating to pharmacy benefits managers, pharmacies, and prescription drug benefits, and in…89th General Assembly · Approved by committee · same titleCleared committee
- SF 2092 Relating to pharmacy benefits managers, pharmacies, and prescription drug benefits, and in…89th General Assembly · Renumbered as SF 2231 · same titleCleared committee
- SF 2231 Relating to pharmacy benefits managers, pharmacies, and prescription drug benefits, and in…89th General Assembly · Withdrawn · same titleDidn’t advance
Similar bills this General Assembly
- HF 213 Relating to pharmacy benefits managers, pharmacies, and prescription drug benefits, and in…91st General Assembly · In committeeNearly identical
- SF 333 Relating to pharmacy benefits managers, pharmacies, and prescription drug benefits, and in…90th General Assembly · Subcommittee recommends passageVery similar
Matched by wording or an identical title.