Missouri 2025 Regular Session

Missouri Senate Bill SB372

Introduced
1/8/25  

Caption

Enacts provisions relating to payments for prescription drugs

Impact

One notable aspect of SB372 is its requirement for pharmacy benefits managers to submit annual reports detailing the rebates collected from pharmaceutical manufacturers and how these rebates are applied within the healthcare plan. These reports are intended to promote accountability, ensuring that benefits derived from rebates are reflected in the pricing of drugs available to consumers. The bill emphasizes the need for PBMs to adhere to strict guidelines, thereby influencing state regulations governing pharmaceutical pricing and accessibility.

Summary

SB372, introduced by Senator Moon, seeks to reform existing regulations related to payments for prescription drugs in the state of Missouri. The bill proposes the repeal of specific sections of existing law and the enactment of several new sections that outline how pharmacy benefits managers (PBMs) must operate within the Missouri Consolidated Health Care Plan. This legislation is aimed at increasing transparency and compliance in the handling of rebates and the pricing of pharmaceuticals, thereby influencing the overall cost of prescription medications for consumers.

Conclusion

If enacted, SB372 would not only modify how PBMs engage in relationships with pharmacies and manufacturers, but it would also effectuate a broader shift in how prescription drug pricing is structured in Missouri. The overarching goal is to ensure that patients are treated fairly and that the costs associated with their medications are transparent and justifiable.

Contention

The discussions surrounding SB372 highlight significant points of contention regarding the balance between state oversight and business practices. Supporters argue that the bill will enhance consumer protections by limiting the ability of PBMs to impose higher costs on patients through obscure pricing models. Nonetheless, some stakeholders express concerns that increased legislative oversight might constraint business operations and lead to unintended consequences, such as reduced competition and creativity in pharmaceutical dealings.

Companion Bills

No companion bills found.

Similar Bills

OK SB789

Pharmacy benefit managers; permitting use of certain records without limitations of date or source for certain purposes; establishing certain reimbursement rates for certain drugs. Effective date.

MS SB2677

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MS HB1123

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MD HB321

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MD SB303

Pharmacy Benefits Managers - Definition of Purchaser and Alteration of Application of Law

MT HB740

Revise laws relating to pharmacies, pharmacy benefit managers, and other entities

NH SB247

Prohibiting network exclusion for pharmacies that refuse to dispense a prescription of the PBM reimbursement that is below the pharmacy's acquisition cost.

MS HB1119

Pharmacy benefit managers; revise provisions related to.