SB 669: Pharmacy benefits managers; requirements, application of law, report, delayed effective date.

Official summary

Abstract published by the legislature (via Open States). Text as published by the legislature; reproduced verbatim.

Pharmacy benefits managers; requirements; scope; report. Requires all health insurance carriers to use the pass-through pricing model and may limit a pharmacy benefits manager from deriving income from pharmacy benefits management services provided to a carrier except for income derived from a pharmacy benefits management fee. The bill prohibits a pharmacy benefits manager from (i) reversing and or resubmitting the claim of a pharmacist or pharmacy without meeting certain requirements, (ii) reducing any payment to a pharmacist or pharmacy to an effective rate of reimbursement, or (iii) retroactively denying or reducing a claim or aggregate of claims except under certain circumstances. The bill requires the State Corporation Commission (the Commission) to examine the practice of carriers or pharmacy benefits managers requiring or inducing covered individuals to utilize pharmacy services at an affiliated pharmacy. The Commission is required to report its findings and recommendations to the General Assembly by December 1, 2027. Certain provisions of the bill have a delayed effective date of July 1, 2027. This bill incorporates SB 410 and SB 413 and is identical to HB 830.

Sponsors

Sponsors by party (alphabetical): Democratic 1 · Republican 1

“Support” is shown only as formal sponsorship recorded by the legislature. Roll-call votes are available on the official bill page.

Recent official actions

1. March 31, 2026Acts of Assembly Chapter text (CHAP0036)
2. March 31, 2026Approved by Governor-Chapter 36 (effective 7/1/2026)
3. March 12, 2026Fiscal Impact Statement from State Corporation Commission (SB669)
4. March 10, 2026Governor's Action Deadline 11:59 p.m., April 13, 2026
5. March 10, 2026Enrolled Bill communicated to Governor on March 10, 2026
6. March 4, 2026Signed by President
7. March 4, 2026Signed by Speaker
8. March 4, 2026Bill text as passed Senate and House (SB669ER)
9. March 4, 2026Enrolled
10. February 27, 2026House substitute agreed to by Senate (38-Y 0-N 0-A)
11. February 25, 2026Passed House with substitute (98-Y 0-N 0-A)
12. February 25, 2026Engrossed by House - floor substitute

Showing 12 most recent of 40 actions. Full history