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Tennessee bill forcing separation of PBMs and pharmacies passes; lawmakers dispute fiscal impact

Policy Talks (Williamson County) · April 24, 2026
AI-Generated Content: All content on this page was generated by AI to highlight key points from the meeting. For complete details and context, we recommend watching the full video. so we can fix them.

Summary

Lawmakers at a Policy Talks forum described a bill that bans ownership of both pharmacy benefit managers (PBMs) and pharmacies in Tennessee, now on the governor's desk; some legislators warned state insurance and TennCare cost estimates of roughly $53 million were not reflected in fiscal review.

Panelists at the Policy Talks forum in Williamson County described recent legislation that prohibits vertical integration between PBMs and pharmacies in Tennessee and reported the measure has passed the legislature and is on the governor's desk.

Senator Joey Hensley, a physician who sponsored or supported the policy changes discussed, explained the bill's intent: PBMs manage drug lists, negotiate rebates with manufacturers and reimburse pharmacies, and vertical integration "favors" pharmacy chains that are…

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