Bill > SB00446

This bill proposes comprehensive reforms to regulate pharmacy benefits managers (PBMs), which are third-party administrators that manage prescription drug benefits for health insurance plans. The bill would prohibit PBMs from imposing post-transaction fees or "clawbacks" on pharmacies, require that drug manufacturer rebates and discounts be directly passed on to consumers at the point of sale, and decouple PBM compensation from medication costs. Additionally, the bill would ban PBMs from charging fees for formulary placement or tier-level drug access, prevent them from prioritizing more expensive medications over clinically appropriate less expensive alternatives, and mandate that any group purchasing organization contracting with PBMs be incorporated in the United States and disclose all associated fees and administrative costs. The bill further requires the Attorney General to oversee PBM operations in the state, ensuring compliance with rebate transparency rules and establishing a legal duty of care for PBMs. These provisions aim to increase transparency, reduce pharmaceutical costs for consumers, and prevent potentially exploitative practices in the pharmacy benefits management industry.

Business and Industry

https://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&bill_num=SB00446&which_year=2025