Bill > HB2253

This bill amends Oregon's existing pharmacy benefit manager (PBM) regulations by adding several key provisions aimed at protecting patients and pharmacies. Specifically, the bill requires PBMs to act as fiduciaries on behalf of enrollees when negotiating prescription drug prices, which means they must legally prioritize the best interests of patients over their own financial gain. The Department of Consumer and Business Services (DCBS) is tasked with creating rules that define this fiduciary duty and establishing a complaint process for reporting potential breaches. The bill also prohibits PBMs from penalizing network pharmacies for activities like informing patients about drug costs, filing appeals or complaints, participating in the legislative process, or challenging PBM practices. Additionally, the bill maintains existing provisions that prevent PBMs from requiring mail-order or specialty pharmacy prescriptions under certain circumstances, and from charging pharmacies fees for claims submission. These changes are intended to increase transparency, protect patient and pharmacy rights, and potentially reduce prescription drug costs by requiring PBMs to act more directly in the patient's best interest.

Health and Social Services

https://olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/HB2253