Bill > SB360

This bill, enacting the Kansas Consumer Prescription Protection and Accountability Act, establishes regulations for pharmacy benefits managers (PBMs), which are entities that manage prescription drug benefits on behalf of health plans. Key provisions include requiring PBMs to register with the state's commissioner of insurance, mandating transparency in reporting rebate amounts and reimbursement practices, and setting standards for pharmacy audits to ensure fairness and prevent overreach by auditing entities. The bill also prohibits certain PBM practices, such as reimbursing pharmacies below acquisition costs plus a dispensing fee, using extrapolation for penalties unless required by federal law, and imposing retroactive fees. Additionally, it clarifies that audits involving clinical judgment must include a pharmacist and sets limits on the scope of audits. The legislation also introduces registration requirements for auditing entities and outlines procedures for examinations of PBMs by the commissioner to ensure compliance with the act, while also protecting sensitive health information.

Business and Industry, Health and Social Services

Financial Institutions and Insurance (Senate)

https://kslegislature.gov/li/b2025_26/measures/sb360/