On March 25, 2025, the Colorado State Legislature introduced House Bill 1222, aimed at enhancing the operational capabilities of rural independent pharmacies in the state. The bill seeks to address significant challenges faced by these pharmacies, particularly in their ability to deliver prescription medications efficiently and fairly.

One of the primary provisions of House Bill 1222 prohibits pharmacy benefit managers (PBMs) from restricting rural independent pharmacies from using private couriers or delivery services for prescription drug deliveries. This change is designed to ensure that these pharmacies can provide timely access to medications for patients, particularly in remote areas where traditional delivery options may be limited. Additionally, the bill mandates that starting January 1, 2026, PBMs must reimburse rural independent pharmacies at least the national average drug acquisition cost for dispensed prescription drugs, along with a dispensing fee. This provision aims to ensure fair compensation for pharmacies, which have often struggled with reimbursement rates that do not reflect the actual costs of providing medications.

The introduction of House Bill 1222 has sparked discussions among lawmakers, pharmacy representatives, and healthcare advocates. Proponents argue that the bill is a necessary step to support rural healthcare infrastructure and ensure that patients have access to essential medications without undue barriers. Critics, however, have raised concerns about the potential financial implications for PBMs and the broader healthcare system, suggesting that the bill could lead to increased costs for consumers and insurance providers.

As the bill progresses through the legislative process, it is expected to undergo further scrutiny and possible amendments. Stakeholders are closely monitoring the discussions, as the outcomes could significantly impact the operational landscape for rural pharmacies in Colorado. The bill's implications extend beyond pharmacy operations, potentially influencing healthcare access and affordability in rural communities.

In summary, House Bill 1222 represents a critical effort to bolster the viability of rural independent pharmacies in Colorado, addressing both delivery capabilities and reimbursement fairness. As the legislative session continues, the bill's fate will be pivotal in shaping the future of pharmacy services in underserved areas.