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

SF 383: Relating to pharmacy benefits managers, pharmacies, prescription drugs, and pharmacy services administrative organizations, and including applicability provisions

Signed into law

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 (pharmacy) with regard to participation, referral, reimbursement of a covered service, or indemnification if a pharmacist acts within the scope of the pharmacist’s license, as permitted under state law, and the pharmacy is operating in accordance with all applicable laws and rules. Under the bill, where a pharmacy 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 of their choice, or impose a monetary advantage or penalty as described in the bill.

Sponsors

Health and Human Services committee

Cost

Cost: up to $225,000

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…

Senate subcommittee · named January 30, 2025

  • Sen. Mike Klimesh (R) · mike.klimesh@legis.iowa.gov
  • Sen. Annette Sweeney (R) · annette.sweeney@legis.iowa.gov
  • Sen. Sarah Trone Garriott (D) · sarah.trone.garriott@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 Senate and sent to the Health and Human Services committee · as SSB 1074
  2. January 30, 2025Senate subcommittee named: Klimesh, Sweeney and Trone Garriott · as SSB 1074
  3. February 5, 2025Subcommittee recommended passing it · as SSB 1074
  4. February 19, 2025Filed in the Senate
  5. February 19, 2025Approved by the Senate committee
  6. February 19, 2025Approved by the Senate committee, and given a new number: SF 383 · as SSB 1074
  7. April 15, 2025Cost estimate (fiscal note) posted
  8. April 28, 2025Passed the Senate, 36–14
  9. May 6, 2025Cost estimate (fiscal note) posted
  10. May 12, 2025Took the place of HF 852 on the House floor (the same legislation)
  11. May 12, 2025Passed the House, 75–15
  12. May 19, 2025Sent to the Governor
  13. June 6, 2025Cost estimate (fiscal note) posted
  14. June 11, 2025Signed 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/91/SF383