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

Where it is now

1. ✓
   Done: IntroducedJanuary 29, 2025
2. ✓
   Done: SubcommitteeJanuary 30, 2025
3. ✓
   Done: Senate committeeFebruary 19, 2025
4. ✓
   Done: Passes the SenateApril 28, 202536–14
5. –
   Skipped: House committeeSkipped
6. ✓
   Done: Passes the HouseMay 12, 202575–15
7. ✓
   Done: To the GovernorMay 19, 2025
8. ✓
   Done: Signed into lawJune 11, 2025

Signed into law What’s a funnel?

Amendments · 5

2 adopted · 0 failed. Newest first.

• H-1324Strike everything · filed May 12, 2025 by

  AI summary This amendment replaces the entire bill with a new version that defines several drug pricing terms and prohibits pharmacy benefits managers from forcing customers to use mail-order pharmacies for specialty drugs. It requires all drug rebates to be passed through to health carriers or employers to lower premiums and mandates that pharmacies be reimbursed at least the national average drug acquisition cost or wholesale acquisition cost. Its wording →
  Ruled not germane
  May 12, 2025
• H-1302Strike everything · filed May 12, 2025 by

  AI summary This amendment replaces the entire bill with new rules for pharmacy benefits managers. It defines several pricing and drug terms, prohibits forcing patients to use mail-order pharmacies for non-specialty drugs, and requires all drug rebates to be passed through to health carriers or plan sponsors to reduce premiums. It also sets rules for pharmacy reimbursements, requires specific pricing models in contracts, establishes an appeals process for pharmacies, and directs the commissioner of insurance to report on the drug wholesale supply chain. Its wording →
  Withdrawn
  May 12, 2025
• H-1291Strike everything · filed May 7, 2025 by

  AI summary This amendment replaces the entire bill with a new version that defines several pharmacy and pricing terms and establishes new rules for pharmacy benefits managers. It prohibits these companies from discriminating against pharmacies, limiting a person's choice of pharmacist, or requiring the use of mail-order services. The amendment also requires that all drug rebates be passed through to health carriers or plan sponsors and sets specific minimum reimbursement rates for retail pharmacies. Its wording →

  Amends this HF 852 to CONFORM to SF 383
  Adopted
  May 12, 2025
• S-3138Strike everything · filed April 28, 2025 by Sen. Mike Klimesh (R)

  AI summary This amendment replaces the entire bill with a new version that defines several pharmacy-related terms and sets rules for pharmacy benefits managers. It prohibits these companies from discriminating against pharmacies, limiting a person's choice of pharmacy, or requiring the use of mail-order services. The amendment also requires that all drug rebates be passed through to health carriers or plan sponsors and establishes minimum reimbursement rates for retail pharmacies. Its wording →
  Adopted
  April 28, 2025
• S-3104 · filed April 16, 2025 by Sen. Mike Klimesh (R)

  AI summary This amendment requires pharmacy benefits managers to pass 100 percent of all rebates to health carriers or plan sponsors to help reduce premiums. It also adds rules for high-deductible health plans to ensure cost-sharing requirements do not make patients ineligible for health savings accounts, requires the commissioner of insurance to report on the drug wholesale supply chain, and creates a process for pharmacies to appeal reimbursement rates. Additionally, it requires pharmacy benefits managers to provide specific drug and distributor information if an appeal is denied and mandates reporting of drugs reimbursed below or significantly above national average costs. Its wording →
  Ruled out of order
  April 28, 2025