Bill
Bill > SB2575
MS SB2575
MS SB2575Pharmacy Benefit Prompt Pay Act; revise various existing and create additional provisions related to.
summary
Introduced
01/19/2026
01/19/2026
In Committee
01/19/2026
01/19/2026
Crossed Over
Passed
Dead
02/03/2026
02/03/2026
Introduced Session
2026 Regular Session
Bill Summary
An Act To Amend Section 73-21-151, Mississippi Code Of 1972, To Reference New Sections In The Pharmacy Benefit Prompt Pay Act; To Amend Section 73-21-153, Mississippi Code Of 1972, To Define And Revise Terms Under The Pharmacy Benefit Prompt Pay Act; To Amend Section 73-21-155, Mississippi Code Of 1972, To Revise The Method Of Determining Reimbursement To A Pharmacist Or Pharmacy By A Pharmacy Benefit Manager Or Pharmacy Services Administrative Organization (psao) For The Dispensing Of Prescription Drugs And Other Products And Supplies; To Amend Section 73-21-156, Mississippi Code Of 1972, To Require Pharmacy Benefit Managers To Provide A Reasonable Administrative Appeal Procedure To Allow Pharmacies To Challenge A Reimbursement For A Specific Drug Or Drugs As Being Below The Reimbursement Rate Required By The Preceding Provision; To Provide That If The Appeal Is Upheld, The Pharmacy Benefit Manager Shall Make The Change In The Payment To The Required Reimbursement Rate; To Amend Section 73-21-157, Mississippi Code Of 1972, To Require The Psao To Be Licensed With The Mississippi Board Of Pharmacy (board); To Create New Section 73-21-158, Mississippi Code Of 1972, To Prohibit A Pharmacy Benefit Manager From Engaging In Spread Pricing; To Amend Section 73-21-161, Mississippi Code Of 1972, To Prohibit A Pharmacy, Pharmacy Benefit Manager Or Pharmacy Benefit Manager Affiliates From Steering; To Create New Section 73-21-162, Mississippi Code Of 1972, To Prohibit Pharmacy Benefit Managers, Pharmacy Benefit Manager Affiliates And Psaos From Retaliating Against A Pharmacy Or Pharmacist; To Amend Section 73-21-163, Mississippi Code Of 1972, To Authorize The Board, For The Purposes Of Conducting Investigations, To Conduct Examinations Of A Pharmacy Benefit Manager Or Psao And To Issue Subpoenas To Obtain Documents Or Records That It Deems Relevant To The Investigation; To Create New Section 73-21-165, Mississippi Code Of 1972, To Require Pharmacy Benefit Managers To Annually Report To The Board Certain Information About Rebates And Other Payments Received From Pharmaceutical Manufacturers; To Create New Section 73-21-167, Mississippi Code Of 1972, To Create The Mississippi Specialty Drug Committee And Direct It To Develop A List Of Prescription Drugs That Meet The Criteria For Specialty Drug Designation To Assist With Patient Access, Transparency And Responsible Cost Management; To Create New Section 73-21-211, Mississippi Code Of 1972, To Create The Pharmacy Fair Competition Act; To Create New Section 73-21-213, Mississippi Code Of 1972, To Provide Legislative Findings; To Create New Section 73-21-215, Mississippi Code Of 1972, To Prohibit A Pharmacy Benefit Manager From Acquiring Direct Or Indirect Interest In, Or Otherwise Holding, Directly Or Indirectly, A Pharmacy Permit For The Retail Sale Of Drugs Or Medicines In This State; To Authorize The Board To Issue A Limited Use Permit Upon A Determination That Certain Rare, Orphan Or Limited Distribution Drugs Are Otherwise Unavailable In The Market; To Create New Section 73-21-217, Mississippi Code Of 1972, To Require The Board To Conduct Assessments Of Each Active Retail Pharmacy Permits And To Provide Written Notice To Permit Holders That The Board Reasonably Believes Will Violate This Act; To Amend Section 25-15-301, Mississippi Code Of 1972, To Provide That The Executive Director Of The Board, Or His Or Her Designee, Shall Be A Member Of The Evaluation Committee When The Proposal For Evaluation Is For Pharmacy Benefits Or The Management Thereof; To Amend Section 25-15-303, Mississippi Code Of 1972, To Add The Executive Director Of The Board, Or His Or Her Designee; To The State And School Employees Health Insurance Management Board; And For Related Purposes.
AI Summary
This bill, titled the "Pharmacy Benefit Prompt Pay Act," significantly revises and expands regulations concerning pharmacy benefit managers (PBMs) and pharmacy services administrative organizations (PSAOs) in Mississippi. Key provisions include defining terms like "clean claim" and "spread pricing," establishing a minimum reimbursement rate for pharmacies based on what PBMs pay their affiliates or the Mississippi Division of Medicaid, and requiring PBMs to provide a reasonable administrative appeal process for pharmacies to challenge reimbursement rates. The bill also mandates that PSAOs be licensed by the Mississippi Board of Pharmacy, prohibits PBMs from engaging in "spread pricing" (charging more than they reimburse for a drug plus dispensing fee), and prevents PBMs and their affiliates from "steering" patients to specific pharmacies. Furthermore, it prohibits retaliation by PBMs, their affiliates, or PSAOs against pharmacies or pharmacists who exercise their rights under the act, and grants the Board of Pharmacy authority to conduct investigations and issue subpoenas. New requirements include annual reporting by PBMs to the Board on rebates and other payments from drug manufacturers, the creation of a Mississippi Specialty Drug Committee to identify specialty drugs, and the "Pharmacy Fair Competition Act" which prohibits PBMs from owning pharmacy permits for retail drug sales, with exceptions for limited-use permits for rare drugs. The bill also amends existing laws to include the Executive Director of the Board of Pharmacy on an evaluation committee for pharmacy benefits and adds them to the State and School Employees Health Insurance Management Board.
Committee Categories
Health and Social Services
Sponsors (1)
Last Action
Died In Committee (on 02/03/2026)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://billstatus.ls.state.ms.us/2026/pdf/history/SB/SB2575.xml |
| BillText | https://billstatus.ls.state.ms.us/documents/2026/html/SB/2500-2599/SB2575IN.htm |
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