SF 333: Relating to pharmacy benefits managers, pharmacies, and prescription drug benefits, and including applicability provisions

What it does

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.

Senate subcommittee · named February 21, 2023

• Sen. Mike Klimesh (R) · mike.klimesh@legis.iowa.gov
• Sen. Janet Petersen (D) · janet.petersen@legis.iowa.gov
• Sen. Jason Schultz (R) · jason.schultz@legis.iowa.gov

Lobbying · 5 for, 11 against

For: ARJ Infusion Services, Inc.; Bristol Myers Squibb Co.; Broadlawns Medical Center; Hy-Vee, Inc.; Iowa Pharmacy Association

Against: Americas Health Insurance Plans (AHIP); CVS Health; Federation of Iowa Insurers; Heavy Highway Contractors Association; Iowa Association of Business and Industry (ABI); Iowa Bankers Association; Iowa Bankers Insurance & Services, Inc.; Medica; Pharmaceutical Care Management Association; United Healthcare Services, Inc.; Wellmark, Inc.

In plain words

1. February 20, 2023Filed in the Senate and sent to the Commerce committee
2. February 21, 2023Senate subcommittee named: Klimesh, Petersen and Schultz
3. February 27, 2023Subcommittee recommended passing it with changes