summary
Introduced
04/09/2025
04/09/2025
In Committee
10/08/2025
10/08/2025
Crossed Over
10/08/2025
10/08/2025
Passed
Dead
Introduced Session
136th General Assembly
Bill Summary
To amend section 3959.01 and to enact sections 3957.01, 3957.02, 3957.03, 3957.04, 3957.05, 3957.06, 3957.07, 3957.08, 3957.09, 3957.10, 3957.11, 3957.12, 3957.13, 3957.14, 3957.15, 3957.16, 3957.17, and 3957.99 of the Revised Code to establish a stand-alone licensing process and new contractual requirements for pharmacy benefit managers.
AI Summary
This bill establishes a comprehensive licensing and regulatory framework for pharmacy benefit managers (PBMs) in Ohio, effective July 1, 2027. The legislation requires PBMs to obtain a license from the superintendent of insurance, pay an initial application fee of $2,000 and an annual renewal fee of $3,000, and maintain detailed records of their financial transactions and services. PBMs must enter into written agreements with plan sponsors that specify service terms, compensation methods, and renewal conditions. The bill mandates that PBMs disclose ownership relationships, rebates, and potential conflicts of interest, and prohibits them from engaging in deceptive practices or reimbursing affiliated pharmacies at different rates than non-affiliated pharmacies. PBMs are required to maintain comprehensive books and records for ten years, prepare annual reports to plan sponsors detailing premiums, administration fees, and claim payments, and submit to potential examinations by the superintendent of insurance. Violations can result in license suspension, revocation, or monetary fines, and failing to comply with the licensing requirements is considered a fourth-degree misdemeanor. The legislation aims to increase transparency and accountability in pharmacy benefit management services while protecting the interests of plan sponsors and patients.
Committee Categories
Business and Industry, Government Affairs
Sponsors (49)
Kellie Deeter (R)*,
Munira Abdullahi (D),
Rachel Baker (D),
Adam Bird (R),
Sean Brennan (D),
Juanita Brent (D),
Darnell Brewer (D),
Karen Brownlee (D),
Gary Click (R),
Christine Cockley (D),
Jack Daniels (R),
Michael Dovilla (R),
Tex Fischer (R),
Chris Glassburn (D),
Michele Grim (D),
Derrick Hall (D),
Jim Hoops (R),
Dani Isaacsohn (D),
Dontavius Jarrells (D),
Marilyn John (R),
Mark Johnson (R),
Angie King (R),
Brian Lampton (R),
Meredith Lawson-Rowe (D),
Crystal Lett (D),
Gayle Manning (R),
Adam Mathews (R),
Ty Mathews (R),
Riordan McClain (R),
Joe Miller (D),
Melanie Miller (R),
Ismail Mohamed (D),
Phil Plummer (R),
Sharon Ray (R),
Kevin Ritter (R),
Allison Russo (D),
Jodi Salvo (R),
Nick Santucci (R),
Mark Sigrist (D),
Veronica Sims (D),
Cecil Thomas (D),
David Thomas (R),
Terrence Upchurch (D),
Andrea White (R),
Erika White (D),
Josh Williams (R),
Bernie Willis (R),
Heidi Workman (R),
Tom Young (R),
Last Action
Senate Financial Institutions, Insurance and Technology 5th Hearing, Proponent/Opponent/Interested Party (16:00:00 3/3/2026 Finance Hearing Room) (on 03/03/2026)
Official Document
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bill summary
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bill summary
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