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Bill would require PSAOs to register as third‑party administrators and extend PBM rules to contracted pharmacies

3174543 · May 1, 2025
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Summary

House Bill 3,226 A would clarify that statutes governing pharmacy benefit managers apply when pharmacies contract through Pharmacy Services Administrative Organizations and would require PSAOs to register with the Department of Consumer and Business Services as third‑party administrators, with limited exemptions.

The Senate Committee on Health Care took testimony May 1 on House Bill 3,226 A, which would add Pharmacy Services Administrative Organizations (PSAOs) to the scope of statutes that regulate pharmacy benefit managers (PBMs) and require certain PSAOs to register with the Department of Consumer and Business Services as third‑party administrators.

Representative Nancy Nathanson, sponsor of the bill, told the committee PSAOs are an additional contracting layer between PBMs and…

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