Iowa 2023-2024 Regular Session

Iowa House Bill HSB536

Introduced
1/9/24  
Introduced
1/9/24  

Caption

A bill for an act relating to the regulation of pharmacy benefits managers.(See HF 2099.)

Impact

This legislation has the potential to significantly affect the practices and operations of PBMs within the state. By prohibiting the many forms of retaliation that PBMs can impose on pharmacies, the law supports pharmacies' rights to voice concerns and cooperate with regulatory authorities without fear of facing punitive measures. This can empower local pharmacies and improve their ability to negotiate fairer terms with PBMs regarding drug pricing and reimbursement rates.

Summary

House Study Bill 536 addresses the regulation of pharmacy benefits managers (PBMs) by expanding their duties to include a responsibility to act in good faith and with fair dealing towards pharmacies. The bill aims to protect pharmacies from retaliatory actions by PBMs, such as contract termination, increased audits, or delayed payments. In doing so, it seeks to create a more equitable relationship between pharmacies and PBMs, aligning the regulations that govern their interactions with the oversight role of the state commissioner of insurance and financial services.

Contention

Notable points of contention surrounding HSB536 center on the implications of expanding duties for PBMs. Critics may argue that such regulations could impose additional burdens on PBMs, potentially leading to increases in administrative costs and drug prices for consumers. Proponents, however, assert that these protections are essential for maintaining fair business practices within the healthcare system. Overall, the bill is positioned as a necessary step toward ensuring fairness in pharmacy service delivery while addressing previous imbalances in how PBMs operated relative to pharmacies.

Companion Bills

IA SSB3079

Related A bill for an act relating to the regulation of pharmacy benefits managers.(See SF 2357.)

IA HF2099

Replaced by A bill for an act relating to the regulation of pharmacy benefits managers. (Formerly HSB 536.) Effective date: 07/01/2024.

IA SF2357

Replaced by A bill for an act relating to the regulation of pharmacy benefits managers.(Formerly SSB 3079.)

Similar Bills

CA AB913

Pharmacy benefit managers.

CA SB362

Chain community pharmacies: quotas.

LA HB432

Provides for the regulation of pharmacy services administrative organizations (OR +$88,000 SG EX See Note)

MS HB1125

Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.

LA HB387

Provides for the regulation of pharmacy services administrative organizations

CA AB401

Pharmacy: remote dispensing site pharmacy: telepharmacy: shared clinic office space.

AR SB593

To Amend The Arkansas Pharmacy Benefits Manager Licensure Act; And To Create The Pharmacy Services Administrative Organization Act.

CA AB690

Pharmacies: relocation: remote dispensing site pharmacy: pharmacy technician: qualifications.