Bill > SB247

This bill modifies existing healthcare regulations to provide more protections for pharmacies in their interactions with pharmacy benefit managers (PBMs), which are entities that administer prescription drug benefits for health insurance plans. The bill allows pharmacies to decline filling a prescription if the reimbursement from a PBM is less than the pharmacy's acquisition cost (the price the pharmacy pays to obtain the drug), with the pharmacy required to advise patients on how to find an alternative location to fill their prescription. The legislation explicitly excludes Medicaid and Medicaid care management programs from these new provisions. Additionally, the bill defines and regulates pharmacy services administrative organizations (PSAOs), which are entities that help independent pharmacies negotiate contracts and manage administrative tasks, and makes failure to comply with the new PSAO requirements a violation of consumer protection laws. PSAOs must now provide pharmacies with copies of contracts, payment schedules, and reimbursement rates within three calendar days of execution, and cannot require pharmacies to purchase drugs from specific entities. The bill is set to take effect on January 1, 2026, and aims to provide more transparency and fairness in pharmaceutical contracting practices.

Business and Industry, Health and Social Services

https://gc.nh.gov/bill_status/legacy/bs2016/bill_status.aspx?lsr=0984&sy=2025&sortoption=&txtsessionyear=2025&txtbillnumber=SB247