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Senate passes comprehensive PBM overhaul aimed at lowering drug costs and increasing transparency
Summary
Lawmakers passed House Bill 264 to constrain spread pricing by pharmacy benefit managers (PBMs), require more transparent reporting to the insurance commissioner, set reimbursement standards to support local pharmacies, and require pass-through of rebates to plans and plan members beginning in 2027.
The Louisiana Senate passed House Bill 264 after floor debate and a series of amendments that sponsors said will rein in pharmacy benefit managers (PBMs), increase transparency and help independent local pharmacies.
Senator Regina Bass, presenting the bill on the floor, summarized a broad set of changes: the legislation updates definitions, prohibits spread pricing without carve-outs, establishes a NADAC-plus reimbursement and an appeals mechanism to support local pharmacies, and requires more detailed PBM reporting to the state insurance commissioner. Senator Bass said the…
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