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91st General Assembly · Funnel one-pager · Monday, November 9, 2026

HSB 99: Relating to pharmacy benefits managers, pharmacies, and prescription drugs and including applicability provisions

Became HF 852 · Its progress continues under the new number.

What it does

This bill relates to pharmacy benefits managers (PBMs), pharmacies, and prescription drugs. The bill prohibits a PBM from discriminating against a pharmacy or a pharmacist with regards to participation, referral, reimbursement of a covered service, or indemnification if a pharmacist acts within the scope of the pharmacist’s license and the pharmacy is operating in accordance with all applicable laws and rules. Under the bill, where a pharmacy or pharmacist has agreed to participate in a covered person’s (person’s) health benefit plan (plan), a PBM shall not prohibit or limit the person from selecting a pharmacy or pharmacist of their choice, or impose a monetary advantage or penalty as described in the bill.

Sponsors

Not listed

Cost

See the fiscal note

The IID estimates the cost of hiring a contractor in FY 2026 to complete the report required by Division II of the Bill to be approximately $225,000. Source Iowa Insurance Division, Department of Insurance and Financial Services 5 /s/ Jennifer Acton June 6, 20…

House subcommittee · named January 29, 2025

  • Rep. Brett Barker (R) · brett.barker@legis.iowa.gov
  • Rep. Shannon Lundgren (R) · shannon.lundgren@legis.iowa.gov
  • Rep. Elizabeth Wilson (D) · elizabeth.wilson@legis.iowa.gov

Lobbying · 21 for, 28 against

For: Alliance for Patient Access; American Cancer Society Cancer Action Network (ACS CAN); American Diabetes Association; Center for Rural Affairs; Epilepsy Foundation Iowa; Genentech, Inc., A Member of the Roche Group; Hy-Vee, Inc.; Iowa Association of Rural Health Clinics; Iowa Biotechnology Association; Iowa Hospital Association; Iowa Integrated Health Planning and Advisory Council; Iowa Medical Society; and 9 more

Against: AFSCME Council 61; AHIP; Associated General Contractors of Iowa; CVS Health; City of Des Moines; Federation of Iowa Insurers; HNI Corporation; Heavy Highway Contractors Association; IBEW Iowa State Conference; Iowa Association of Electric Cooperatives; Iowa Bankers Insurance & Services, Inc.; Iowa Business Council; and 16 more

In plain words

  1. January 29, 2025Filed in the House and sent to the Commerce committee
  2. January 29, 2025House subcommittee named: Barker, Lundgren and Wilson
  3. February 5, 2025Subcommittee recommended passing it
  4. February 11, 2025Approved by the House committee
  5. February 11, 2025Committee vote: 23–0
  6. March 7, 2025Approved by the House committee, and given a new number: HF 852

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/91/HSB99