Iowa Senate Bill SF2357

Iowa 2023-2024 Regular Session

• Introduced: 2/15/24

Caption

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

Impact

The ramifications of SF2357 on state law are substantial. By strengthening the protections for pharmacies, the bill aims to create a fairer environment in which these entities can operate without fear of punitive measures from PBMs. This is particularly relevant in an industry where pharmacists express concerns over unfair practices they have faced in dealings with PBMs. Moreover, the bill requires PBMs to be more transparent in their pricing practices, mandating that any updates to maximum allowable cost lists for drugs be performed expeditiously in response to cost changes in the marketplace.

Summary

Senate File 2357 is a proposed legislation aimed at regulating pharmacy benefits managers (PBMs) in the state of Iowa. The bill significantly amends existing laws to enhance the duties that PBMs owe to pharmacies, shifting from a focus primarily on third-party payors to include pharmacies as well. A key provision of the bill prohibits PBMs from retaliating against pharmacies for asserting their rights or cooperating with regulatory authorities. Specific retaliatory actions, such as terminating contracts, imposing increased audits, or delaying payments, are explicitly outlawed under this legislation.

Contention

Discussions surrounding SF2357 may elicit diverse opinions among stakeholders. Proponents argue that the bill levels the playing field for pharmacies against larger PBM corporations, fostering a healthier prescription drug market and ensuring that pharmacies can serve their communities without undue pressure. However, those opposed may raise concerns about changes in the dynamic between PBMs and pharmacies, suggesting that some provisions could lead to increased costs or complexities in drug pricing structures, potentially affecting consumers adversely. Ultimately, this legislation represents a significant shift in how pharmacy benefits are managed and regulated in Iowa.