Bills › 91st General Assembly
Relating to pharmacy benefits managers, pharmacies, and prescription drug benefits, and including applicability provisions
Sponsored by Rep. Sean Bagniewski (D), Rep. Timi M. Brown-Powers (D), Rep. Tracy A. Ehlert (D), Rep. Bob Kressig (D), Rep. Brian Meyer (D), Rep. Dr. Megan L. Srinivas (D), Rep. Elizabeth Wilson (D)
Where it is now
- Done: IntroducedFebruary 6, 2025
- Stopped: SubcommitteeDied when the General Assembly ended
- Next: House committeeFunnel: by February 20, 2026
- Next: Passes the House
- Next: Senate committeeFunnel: by March 20, 2026
- Next: Passes the Senate
- Next: To the Governor
- Next: Signed into law
Died when the session ended The 2026 session adjourned on May 3, 2026, 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 prices based on which pharmacy a person chooses. If a pharmacy accepts the same rules as a person's health plan, that person must be allowed to fill their prescriptions there. Additionally, any money a person pays for a drug must count toward their health plan's deductible.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 · 3 against · 4 undecided · Who →
Family tree
Tried before
91st General Assembly
Earlier and later bills are matched by wording or an identical title.
Tried before
This idea has been filed in 2 earlier General Assemblies. None got through a chamber.
- HF 2473 Relating to pharmacy benefits managers, pharmacies, and prescription drug benefits, and in…90th General Assembly · In committee · same titleCleared committee
- SF 333 Relating to pharmacy benefits managers, pharmacies, and prescription drug benefits, and in…90th General Assembly · Subcommittee recommends passage · very similarCleared committee
- 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
Matched by wording or an identical title.