# Indiana HB 1606: Pharmacy benefit managers.

Indiana HB 1606, Pharmacy benefit managers., is a First Regular Session 124th General Assembly (2025) House bill sponsored by Julie McGuire (Republican); status failed, last action 2025-01-21 (First reading: referred to Committee on Insurance) (as of 2026-10-17).

- Canonical: https://policyrisk.com/state-bill/IN-HB1606-2025
- As of: 2026-10-17
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Indiana HB 1606
- State: Indiana
- Session: First Regular Session 124th General Assembly (2025)
- Title: Pharmacy benefit managers.
- Status: failed
- Chamber: House
- Introduced: 2025-01-21
- Last action: 2025-01-21, First reading: referred to Committee on Insurance
- Sponsor: Julie McGuire (Republican)
- Cosponsors: 3
- Subjects: insurance
- Touches household money: no
- Economic provisions PRIA read: 0

## Summary

Prohibits a pharmacy benefit manager from taking certain actions. Requires a pharmacy benefit manager to submit a report to the insurance commissioner every six months. (Current law requires a pharmacy benefit manager to submit the report annually.) Provides that if a contract holder requests an audit of compliance with the contract from a pharmacy benefit manager, the pharmacy benefit manager must provide the audit requested to the contract holder not later than 30 business days after receiving the request. Removes the provision specifying that the files or forms disclosed to the contract holder by the pharmacy benefit manager as part of an audit of compliance with the contract may be modified to redact trade secrets. Establishes civil penalties that the department of insurance (department) shall impose for a violation of the provisions concerning pharmacy benefit managers. Requires a pharmacy benefit manager to provide additional information in the pharmacy benefit manager's report to the department. Requires, after June 30, 2025, a health payer to include information relating to prescription drug pricing in the data submitted to the all payer claims data base by the health payer. Requires a health plan to credit toward a covered individual's deductible and annual maximum out-of-pocket expenses any amount the covered individual pays directly to any health care provider for a medically necessary covered health care service if a claim for the health care service is not submitted to the health plan and the amount paid by the covered individual to the health care provider is less than the average discounted rate for the health care service paid to a health care provider in the health plan's network.

## Bill overview

No economic impacts identified for this bill.

## Sponsors and cosponsors

- Sponsor: Julie McGuire (Republican), House
- Cosponsor: Brad Barrett (Republican), House
- Cosponsor: Joanna King (Republican), House
- Cosponsor: Tony Isa (Republican), House

## Actions (3)

- 2025-01-21: First reading: referred to Committee on Insurance (House)
- 2025-01-21: Authored by Representative McGuire (House)
- 2025-01-21: Coauthored by Representatives Barrett, King, Isa (House)

## Bill text

- Introduced House Bill (H): [PDF](https://api.iga.in.gov/2025/bills/HB1606/versions/HB1606.01.INTR?format=pdf)

## Related bills

- SB 324: Criminal procedures. (signed)
- SB 231: Various corrections matters. (signed)
- SB 80: Code publication. (signed)
- SB 453: Various tax matters. (signed)
- SB 464: Financial institutions and consumer credit. (signed)
- SB 371: Workforce matters. (signed)

## Sources
- [Introduced House Bill (H) (PDF)](https://api.iga.in.gov/2025/bills/HB1606/versions/HB1606.01.INTR?format=pdf)

## Related
- [SB 324: Criminal procedures.](https://policyrisk.com/state-bill/IN-SB324-2025)
- [SB 231: Various corrections matters.](https://policyrisk.com/state-bill/IN-SB231-2025)
- [SB 80: Code publication.](https://policyrisk.com/state-bill/IN-SB80-2025)
- [SB 453: Various tax matters.](https://policyrisk.com/state-bill/IN-SB453-2025)
- [SB 464: Financial institutions and consumer credit.](https://policyrisk.com/state-bill/IN-SB464-2025)
- [SB 371: Workforce matters.](https://policyrisk.com/state-bill/IN-SB371-2025)
- [Indiana bills](https://policyrisk.com/states/indiana/bills)
- [Indiana state hub](https://policyrisk.com/states/indiana)
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Source: PRIA, https://policyrisk.com/state-bill/IN-HB1606-2025 (as of 2026-10-17).
