# Iowa SF 383: A bill for an act relating to pharmacy benefits managers, pharmacies, prescription drugs, and pharmacy services administrative organizations, and including applicability provisions. (Formerly SSB 1074.) Effective date: 07/01/2025. Applicability date: 07/01/2025. Iowa SF 383, A bill for an act relating to pharmacy benefits managers, pharmacies, prescription drugs, and pharmacy services administrative organizations, and including applicability provisions. (Formerly SSB 1074.) Effective date: 07/01/2025. Applicability date: 07/01/2025., is a 91st General Assembly (2025–2026) Senate bill sponsored by COMMITTEE ON HEALTH AND HUMAN SERVICES; status signed, last action 2025-06-11 (Signed by Governor.); PRIA reads it as touching household money (as of 2026-10-18). - Canonical: https://policyrisk.com/state-bill/IA-SF383-2025-2026 - As of: 2026-10-18 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Iowa SF 383 - State: Iowa - Session: 91st General Assembly (2025–2026) - Title: A bill for an act relating to pharmacy benefits managers, pharmacies, prescription drugs, and pharmacy services administrative organizations, and including applicability provisions. (Formerly SSB 1074.) Effective date: 07/01/2025. Applicability date: 07/01/2025. - Status: signed - Chamber: Senate - Introduced: 2025-02-19 - Last action: 2025-06-11, Signed by Governor. - Sponsor: COMMITTEE ON HEALTH AND HUMAN SERVICES - Cosponsors: 0 - Touches household money: yes - Roll calls: 3 (132 yes, 98 no in all) - Economic provisions PRIA read: 6 ## Summary No summary available. ## Bill overview: provisions PRIA read - Prescription payments count toward plan limits: benefit, medium. Beginning July 1, 2025, pharmacy benefits managers must count payments made by you or on your behalf toward total cost-sharing. Your prescription payments must also count toward any plan deductible, as provided in your plan’s coverage documents. For qualifying high-deductible plans, the cost-sharin… - Stronger protections for your pharmacy choice: benefit, medium. Beginning July 1, 2025, Iowa pharmacy benefits managers cannot limit your choice among participating pharmacies through financial penalties or promotions. They cannot vary your cost-sharing or add fees based on which pharmacy fills your prescription. They cannot require mail order for payment or im… - Minimum payments for Iowa retail pharmacies: benefit, medium. Beginning July 1, 2025, pharmacy benefits managers cannot pay Iowa pharmacies less than their affiliates for the same drug. Iowa retail pharmacies must receive at least the latest national average drug acquisition cost on the dispensing or administration date. If unavailable, the floor is wholesale… - Drug rebates go to health plans: benefit, medium. Beginning July 1, 2025, pharmacy benefits managers must pass 100% of rebates to insurers or employee plan sponsors, as federal law permits. Covered contracts made, amended, adjusted, or renewed on or after July 1, 2025 must require pass-through pricing for benefits beginning January 1, 2026. This m… - Fairer pharmacy networks and clearer directories: benefit, low. Beginning July 1, 2025, pharmacy benefits managers must accept pharmacies that meet plan requirements and payment terms for similarly classified pharmacies. They cannot demand credentials beyond Iowa requirements; managers, insurers, plans, and payors cannot discriminate against law-abiding pharmac… - Patients can enforce pharmacy rights: benefit, low. Beginning July 1, 2025, patients and pharmacies harmed by violations of the pharmacy-rights rules can ask a court to stop them. Iowa’s insurance commissioner cannot certify a pharmacy benefits manager or license an insurance producer that fails to follow those rules. The court remedy stops violatio… ## Sponsors and cosponsors - Sponsor: COMMITTEE ON HEALTH AND HUMAN SERVICES ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2025-05-12 | legislature | Motion to suspend rules for immediate consideration of amendment H-1324 | fail | 21 | 69 | | | 2025-05-12 | House | Passed House | pass | 75 | 15 | | | 2025-04-28 | Senate | Passed Senate | pass | 36 | 14 | | ## Actions (29) - 2025-06-11: Signed by Governor. (Senate) - 2025-06-06: Fiscal note. (legislature) - 2025-05-20: Explanation of vote. (House) - 2025-05-19: Reported correctly enrolled, signed by President and Speaker, and sent to Governor. (Senate) - 2025-05-12: Message from House. (Senate) - 2025-05-12: Immediate message. (House) - 2025-05-12: Passed House, yeas 75, nays 15. (House) - 2025-05-12: Motion to suspend rules failed. (House) - 2025-05-12: Motion to suspend rules for immediate consideration of amendment H-1324, yeas 21, nays 69. (House) - 2025-05-12: Point of order raised on amendment H-1324, ruled not germane. (House) - 2025-05-12: Amendment H-1324 filed. (House) - 2025-05-12: Amendment H-1302 filed, withdrawn. (House) - 2025-05-12: Substituted for HF 852. (House) - 2025-05-07: Fiscal note. (legislature) - 2025-05-06: Fiscal note. (legislature) - 2025-04-30: Read first time, passed on file. (House) - 2025-04-29: Message from Senate. (House) - 2025-04-28: Immediate message. (Senate) - 2025-04-28: Passed Senate, yeas 36, nays 14. (Senate) - 2025-04-28: Amendment S-3104 out of order. (Senate) - 2025-04-28: Amendment S-3138 adopted. (Senate) - 2025-04-28: Amendment S-3139 filed, lost. (Senate) - 2025-04-28: Amendment S-3138 filed. (Senate) - 2025-04-28: Deferred. (Senate) - 2025-04-16: Amendment S-3104 filed. (Senate) - 2025-04-15: Fiscal note. (legislature) - 2025-04-03: Placed on calendar under unfinished business. (Senate) - 2025-02-19: Committee report, approving bill. (Senate) - 2025-02-19: Introduced, placed on calendar. (Senate) ## Bill text - As Introduced: [PDF](https://www.legis.iowa.gov/docs/publications/LGI/91/SF383.pdf) - Enrolled: [PDF](https://www.legis.iowa.gov/docs/publications/LGE/91/SF383.pdf) ## Related bills - HF 2801: A bill for an act modifying the major economic growth attraction program, and including effective date provisions. (Formerly HSB 785.) Effective date: 10/02/20… (signed) - SF 2472: A bill for an act relating to state and local government taxes, fees, financial authority, and budgets, by modifying property assessment provisions, divisions… (signed) - HF 2601: A bill for an act relating to campaign finance, including participation in ballot issue campaigns by foreign nationals and investigations of election misconduc… (signed) - SF 2399: A bill for an act relating to bail and bond amounts and conditions. (Formerly SSB 3162.) Effective date: 07/01/2026. (signed) - SF 2471: A bill for an act relating to fees for lifetime fur harvester licenses. (Formerly SF 2317, SSB 3121.) Effective date: 07/01/2026. (signed) - SF 2299: A bill for an act relating to the district-to-community college sharing or concurrent enrollment program. (Formerly SF 2176.) Vetoed 6-2-26. (vetoed) ## Sources - [As Introduced (PDF)](https://www.legis.iowa.gov/docs/publications/LGI/91/SF383.pdf) - [Enrolled (PDF)](https://www.legis.iowa.gov/docs/publications/LGE/91/SF383.pdf) ## Related - [HF 2801: A bill for an act modifying the major economic growth attraction program, and i…](https://policyrisk.com/state-bill/IA-HF2801-2025-2026) - [SF 2472: A bill for an act relating to state and local government taxes, fees, financial…](https://policyrisk.com/state-bill/IA-SF2472-2025-2026) - [HF 2601: A bill for an act relating to campaign finance, including participation in ball…](https://policyrisk.com/state-bill/IA-HF2601-2025-2026) - [SF 2399: A bill for an act relating to bail and bond amounts and conditions. (Formerly S…](https://policyrisk.com/state-bill/IA-SF2399-2025-2026) - [SF 2471: A bill for an act relating to fees for lifetime fur harvester licenses. (Former…](https://policyrisk.com/state-bill/IA-SF2471-2025-2026) - [SF 2299: A bill for an act relating to the district-to-community college sharing or conc…](https://policyrisk.com/state-bill/IA-SF2299-2025-2026) - [Iowa bills](https://policyrisk.com/states/iowa/bills) - [Iowa state hub](https://policyrisk.com/states/iowa) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/IA-SF383-2025-2026 (as of 2026-10-18).