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Committee Weighs Broad PBM and Pharmacy Pricing Bill; Industry and Regulators Clash Over Fiduciary, Reporting and Steering Provisions

House Commerce and Consumer Affairs · April 15, 2026
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Summary

Senate Bill 665, a package of pharmacy benefit manager (PBM) and pharmacy transparency reforms, drew lengthy debate over licensing scope, fiduciary language, semiannual reporting, anti‑steering rules and enforcement; PBMs and insurers urged surgical fixes while advocates sought broader disclosure.

Senate Bill 665, a multi‑part rewrite of New Hampshire’s PBM and pharmacy‑pricing statutes, prompted detailed testimony from the Insurance Department, PBM trade groups, insurers and providers.

Michelle Heaton of the Insurance Department summarized the governor’s and department’s effort to harmonize licensing and oversight, adding that the draft clarifies that PBM acts done under contract are considered acts of the carrier. She said the bill updates…

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