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90th General Assembly · Funnel one-pager · Monday, November 9, 2026

HF 423: Relating to contract pharmacies and covered entities that participate in the 340B drug program

Signed into law

What it does

This bill relates to contract pharmacies and covered entities that participate in the 340B program. The bill defines “340B program”, “contract pharmacy”, and “covered entity”. Group health plans (plans), health carriers that offer group or individual health insurance coverage (carriers), third-party administrators (administrators), and pharmacy benefits managers (PBM) are prohibited from discriminating against a covered entity or a contract pharmacy by reimbursing the covered entity or the contract pharmacy for a prescription drug or a dispensing fee in an amount less than the plan, carrier, administrator, or PBM reimburses a similarly situated entity or pharmacy that is not a covered entity or a contract pharmacy.

Sponsors

Health and Human Services committee

Cost

Can’t be estimated

Senate File 419 has the potential to generate increased costs to the State of Iowa and the State of Iowa health plan, but the fiscal impact is unknown.

Lobbying · 14 for, 0 against

For: ARJ Infusion Services, Inc.; Broadlawns Medical Center; Genesis Health System; Iowa Affiliate of the American College of Nurse-Midwives; Iowa Association of Rural Health Clinics; Iowa Chapter of the National Association of Pediatric Nurse Practitioners; Iowa Hospital Association; Iowa Medical Society; Iowa Nurse Practitioners Society; Iowa Nurses Association; Iowa Pharmacy Association; Iowa Primary Care Association; and 2 more

In plain words

  1. February 22, 2023Filed in the House
  2. March 6, 2023Cost estimate (fiscal note) posted
  3. March 7, 2023Passed the House, 98–0
  4. March 7, 2023Arrived in the Senate
  5. April 20, 2023Took the place of SF 419 on the Senate floor (the same legislation)
  6. April 20, 2023Passed the Senate, 49–1
  7. April 28, 2023Sent to the Governor
  8. April 28, 2023Signed into law

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/90/HF423