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CT SB00758

CT SB00758
An Act Concerning Pharmacy Benefits Manager Reform.


summary

Introduced
01/17/2025
In Committee
01/17/2025
Crossed Over
Passed
Dead
06/04/2025

Introduced Session

2025 General Assembly

Bill Summary

To reform pharmacy benefits manager practices in this state and establish a duty of care for pharmacy benefits managers.

AI Summary

This bill proposes comprehensive reforms to regulate pharmacy benefits managers (PBMs), which are intermediaries that manage prescription drug benefits for health insurance plans. The legislation would prohibit PBMs from imposing post-transaction fees or "clawbacks" on pharmacies, require that drug manufacturer rebates and discounts be passed directly to consumers at the point of sale, and decouple PBM compensation from medication costs. Additionally, the bill would ban PBMs from charging fees for medication formulary placement, mandate that group purchasing organizations contracting with PBMs be U.S.-incorporated and disclose all associated fees, and prevent PBMs from prioritizing more expensive medications over clinically appropriate but less costly alternatives. The bill also establishes a duty of care for PBMs and empowers the Attorney General to oversee their operations in the state, with the goal of ensuring transparency and protecting consumers from potentially unfair pharmaceutical pricing and reimbursement practices.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

Referred to Joint Committee on Insurance and Real Estate (on 01/17/2025)

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