House Bill 1222, introduced in Colorado on March 25, 2025, aims to bolster healthcare access for residents in rural areas by supporting independent pharmacies. The bill specifically prohibits pharmacy benefit managers (PBMs) from restricting these pharmacies from utilizing private couriers or delivery services to deliver prescription medications to patients. This move is designed to enhance the convenience and accessibility of essential medications for those living in remote locations.

A key provision of the bill mandates that PBMs must reimburse rural independent pharmacies at no less than the average acquisition cost for similar prescription drugs, as determined by the medical services board. This is a significant step toward ensuring that rural pharmacies can remain viable and competitive, ultimately benefiting patients who rely on them for their healthcare needs.

The bill has sparked notable discussions among lawmakers, with a strong bipartisan sponsorship reflecting widespread support for its objectives. However, some concerns have been raised regarding the potential financial implications for PBMs and how these changes might affect overall healthcare costs in the state.

Experts suggest that if passed, House Bill 1222 could lead to improved health outcomes in rural communities by ensuring that residents have reliable access to medications. The bill's proponents argue that it addresses a critical gap in healthcare delivery, while opponents caution about the broader economic impacts on the pharmaceutical supply chain.

As the bill moves through the legislative process, its implications for rural healthcare access and the operations of independent pharmacies will be closely monitored. If successful, House Bill 1222 could set a precedent for similar measures in other states, highlighting the ongoing struggle to maintain healthcare accessibility in underserved areas.