Bills › 91st General Assembly
Relating to pharmacy benefits managers, pharmacies, and prescription drugs
Topics:Business & economyHealth carePrescription drug prices
Where it is now
- Done: IntroducedMarch 5, 2025
- Done: SubcommitteeMarch 5, 2025
- Stopped: Senate committeeDied when the General Assembly ended
- Next: Passes the Senate
- Next: House committeeFunnel: by March 20, 2026
- Next: Passes the House
- Next: To the Governor
- Next: Signed into law
Died when the session ended The General Assembly adjourned on October 2, 2026. Bills that didn’t pass both chambers died. What’s a funnel?
What’s in it
This bill relates to pharmacy benefits managers, pharmacies, and prescription drugs. _____ pharmacy services, exclusively through a mail order pharmacy. “Specialty drug” is defined in the bill. Under the bill, 100 percent of all rebates received by a PBM shall be passed through to the health carrier or employer plan sponsor to reduce premiums. “Pass-through pricing” is defined in the bill. Under the bill, for a prescription filled at a pharmacy with five or less locations, a PBM shall reimburse the pharmacy or pharmacist a $3 professional dispensing fee.
Read the full explanation
For a prescription filled at a pharmacy with six or more locations, and that has any location located in a pharmacy desert, a PBM shall reimburse the pharmacy in the pharmacy desert a professional dispensing fee of $3. “Pharmacy desert” is defined in the bill. Under the bill, all contracts executed, amended, adjusted, or renewed on or after July 1, 2025, that apply to prescription drug benefits on or after January 1, 2026, between a PBM and a third-party payor, or between a person and a third-party payor, shall prohibit the practice of spread pricing. “Spread pricing” is defined in the bill.
From the explanation printed with the bill as introduced, written by the Legislative Services Agency. Amendments adopted later aren’t reflected. Full bill text
Senate subcommittee
Named March 5, 2025. On March 6, 2025 it recommended amendment and passage.
Three legislators hear a bill first and recommend what the committee should do; it’s the best time to weigh in. How to take part
Iowa Code it changes
Read from the bill as introduced. Each links to every bill touching that chapter of the Iowa Code. How the Code works
Lobbying
6 for · 3 against · 16 undecided · Who →