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Bill > HB264
LA HB264
LA HB264Provides for transparency and compensation practices relative to pharmacy benefit managers (EN +$90,000 SG EX See Note)
summary
Introduced
04/01/2025
04/01/2025
In Committee
06/04/2025
06/04/2025
Crossed Over
05/27/2025
05/27/2025
Passed
06/20/2025
06/20/2025
Dead
Signed/Enacted/Adopted
06/20/2025
06/20/2025
Introduced Session
Potential new amendment
2025 Regular Session
Bill Summary
AN ACT To amend and reenact the heading of Subpart C-1 of Part II of Chapter 6 of Title 22 of the Louisiana Revised Statutes of 1950, R.S. 22:1863, 1865 (Section heading), and 1867, R.S. 40:2869(A) and (B) and 2870(A)(4) and (5)(a), and R.S. 44:4.1(B)(11), to enact R.S. 22:1868, 1868.1, 1869, 1870, and 1871, and to repeal R.S. 22:1657.1, 1860.2, and 1860.3(E) and R.S. 40:2870(A)(5)(b), relative to pharmacy
AI Summary
This bill provides comprehensive regulations for pharmacy benefit managers (PBMs) in Louisiana, aimed at increasing transparency, protecting local pharmacies, and preventing unfair pricing practices. The legislation establishes new requirements for PBMs, including prohibiting spread pricing and effective rate pricing for local pharmacies, mandating that all manufacturer rebates be passed through to plan sponsors, and requiring annual transparency reports. Key provisions include creating an appeal process for pharmacies to challenge reimbursement rates, ensuring that pharmacies are reimbursed at or above their drug acquisition costs, and establishing a Pharmacy Benefit Manager Enforcement Fund. The bill defines important terms like "local pharmacy" and "specialty drug," and creates a PBM Monitoring Advisory Council within the Department of Insurance to oversee these regulations. PBMs will now be required to disclose management fees, pass through manufacturer rebates, and submit detailed annual reports about their financial practices. The enforcement of most provisions will begin on January 1, 2027, giving PBMs time to adapt to the new requirements, and violations can result in penalties under unfair trade practices laws, with the potential for restitution and treble damages.
Committee Categories
Business and Industry, Housing and Urban Affairs
Sponsors (69)
Michael Echols (R)*,
Beryl Amedée (R),
Tony Bacala (R),
Larry Bagley (R),
Dennis Bamburg (R),
Adam Bass (R),
Michael Bayham (R),
Beau Beaullieu (R),
Stephanie Berault (R),
Beth Billings (R),
Delisha Boyd (D),
Rhonda Butler (R),
Joshua Carlson (R),
Barbara Carpenter (D),
Dewith Carrier (R),
Robby Carter (D),
Kim Carver (R),
Tehmi Chassion (D),
Emily Chenevert (R),
Kimberly Coates (R),
Vincent Cox (R),
Raymond Crews (R),
Daryl Deshotel (R),
Phillip DeVillier (R),
Kellee Dickerson (R),
Jessica Domangue (R),
Kathy Edmonston (R),
Peter Egan (R),
Julie Emerson (R),
Les Farnum (R),
Gabe Firment (R),
Bryan Fontenot (R),
Brian Glorioso (R),
Troy Hebert (R),
Dodie Horton (R),
Jason Hughes (D),
John Illg (R),
Steven Jackson (D),
Mike Johnson (R),
Travis Johnson (D),
Edmond Jordan (D),
Tim Kerner (R),
Vanessa LaFleur (D),
Jacob Landry (R),
Shane Mack (R),
Denise Marcelle (D),
Danny McCormick (R),
Jack McFarland (R),
Wayne McMahen (R),
Dixon McMakin (R),
Michael Melerine (R),
Dustin Miller (D),
Candace Newell (D),
Joe Orgeron (R),
Chuck Owen (R),
Troy Romero (R),
Rodney Schamerhorn (R),
Laurie Schlegel (R),
Annie Spell (R),
Vinney St. Blanc (R),
Joe Stagni (R),
Sylvia Taylor (D),
Francis Thompson (R),
Chris Turner (R),
Debbie Villio (R),
Joy Walters (D),
Roger Wilder (R),
Jeffrey Wiley (R),
John Wyble (R),
Last Action
Effective date: 06/20/2025. (on 06/20/2025)
Official Document
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