All Roll Calls
Yes: 552 • No: 92
KansasSB 202025–2026 Regular SessionSenateWALLET
Enacting the Kansas consumer prescription protection and accountability act and providing for regulation and registration of pharmacy benefits managers.
Sponsored By: Committee on Financial Institutions and Insurance
Signed by Governor
house committee on insurancesenate committee on financial institutions and insurance
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Bill Overview
Analyzed Economic Effects
7 provisions identified: 4 benefits, 2 costs, 1 mixed.
Pharmacies gain minimum payments and contract access
Pharmacy benefit managers must pay pharmacies at least the latest monthly National Average Drug Acquisition Cost, or wholesale acquisition cost when unavailable. They must add a dispensing fee equal to the greater of $10.50 or the fee under state rules. Managers cannot pay outside pharmacies less than their own pharmacies, and must charge health plans the same drug price they pay pharmacies. These payment rules exclude self-funded plans governed by the federal ERISA law. Managers must also give pharmacies contracts, amendments, payment schedules, and reimbursement rates within 10 calendar days after signing or changing them.
Patients and pharmacies gain fee protections
Pharmacy benefit managers cannot impose point-of-sale or retroactive fees, or earn revenue from pharmacies or patients for managing pharmacy benefits. They can still process plan-approved deductibles and copays. Rebates not used to lower a patient's cost sharing must go to the health plan. Insurers do not have to use rebates to lower patient costs. These rules exclude self-funded health plans governed by the federal ERISA law.
Pharmacies gain audit notice and response rights
The audit rules cover pharmacy-record reviews by managed care companies, third-party payers, pharmacy benefit managers, and entities acting for covered entities or health plans. Auditors must protect private health information and give at least 14 calendar days' written notice unless both parties agree otherwise. Pharmacies can request a delay within 72 hours after receiving notice, and must receive a record list before auditors leave. Preliminary reports are due within 60 calendar days after the on-site audit, pharmacies get at least 30 calendar days to respond, and final reports are due within 90 calendar days after the audit. Plan sponsors and the Kansas insurance commissioner can request audit reports, subject to confidentiality protections.
Pharmacies gain limits on audit recoveries
Audit recoveries must reflect actual financial harm; clerical errors generally cannot trigger repayment unless they caused overpayment. Auditors cannot project sampled errors across other claims unless federal law requires it. Clinical audits require pharmacist involvement and generally cover no more than 24 months and 250 prescriptions, with exceptions for legally required longer periods or indicated fraud, waste, abuse, or intentional wrongdoing. Recovery must wait until the appeal deadline passes or appeals end, but managers may withhold future payments for identified discrepancies over $25,000 while appeals are pending. Limits on reversing prior eligibility approvals do not apply to Medicare claims.
Drug benefit managers face state oversight
Pharmacy benefit managers operating in Kansas need a state license; an administrator registration does not replace it. The law covers insurers and other prescription-coverage entities, including managers of some self-funded and government plans, but excludes property, casualty, and workers' compensation insurers. Existing insurance-code exemptions do not override requirements that this act expressly applies. The insurance commissioner can examine managers when needed and require access to relevant records and staff. Managers must pay reasonable costs for hired examination professionals, and refusing to cooperate can lead to license suspension, denial, or nonrenewal.
Pharmacy auditors must register and pay fees
Pharmacy auditing entities must register with the Kansas insurance commissioner before operating in Kansas. The initial fee cannot exceed $500, annual renewal fees cannot exceed $250, and late-renewal penalties cannot exceed $250. Registrations expire each March 31 and must be renewed by that date. The commissioner can suspend registration until required renewal documents and payments arrive.
Drug benefit managers must disclose payments
Pharmacy benefit managers must report rebates, pharmacy-service payments, and differences between pharmacy payments and health-plan charges annually, or more often when requested. Quarterly reports cover drugs listed in National Average Drug Acquisition Cost data, including payments at least 10% above or below that benchmark. Managers must post those quarterly reports publicly for at least 24 months. Health plans and covered entities must also report credits, rebates, discounts, and other payments each year. Reports must be electronic and exclude personal protected health information; reports other than the quarterly drug reports generally remain confidential.
Sponsors & Cosponsors
Sponsor
Committee on Financial Institutions and Insurance
Affiliation unavailable
Cosponsors
There are no cosponsors for this bill.
Roll Call Votes
Senate vote • 4/23/2026
Yea: 32 Nay: 8
Yes: 32 • No: 8
Senate vote • 4/23/2026
Yea: 104 Nay: 17
Yes: 104 • No: 17
Senate vote • 4/23/2026
Yea: 100 Nay: 21
Yes: 100 • No: 21
Senate vote • 4/23/2026
Yea: 40 Nay: 0
Yes: 40 • No: 0
Senate vote • 3/24/2026
Conference Committee Report was adopted
Yes: 32 • No: 8
House vote • 3/23/2026
Conference Committee Report was adopted
Yes: 104 • No: 17
House vote • 3/7/2025
Emergency Final Action - Passed as amended
Yes: 100 • No: 21
Senate vote • 2/19/2025
Final Action - Passed
Yes: 40 • No: 0
Actions Timeline
Enrolled and presented to Governor on Friday, April 3, 2026
4/9/2026SenateApproved by Governor on Thursday, April 9, 2026
4/9/2026SenateConference Committee Report was adopted; Yea 32, Nay 8
3/24/2026SenateConference committee report now available
3/23/2026HouseMotion to suspend rule 1502 adopted
3/23/2026HouseSubstitute motion to not adopt and appoint a conference committee failed
3/23/2026HouseConference Committee Report was adopted; Yea 104, Nay 17, Absent 4
3/23/2026HouseMotion to accede adopted; Rep. Bill Sutton, Rep. Brian Bergkamp and Rep. Cindy Neighbor appointed as conferees
3/11/2025HouseNonconcurred with amendments; Conference Committee requested; appointed Sen. Brenda Dietrich, Sen. Michael Fagg and Sen. Marci Francisco
3/10/2025SenateCommittee of the Whole - Committee Report be adopted
3/7/2025HouseCommittee of the Whole - Be passed as amended
3/7/2025HouseMotion to advance to Emergency Final Action adopted
3/7/2025HouseEmergency Final Action - Passed as amended; Yea 100, Nay 21, Absent 4
3/7/2025HouseCommittee Report recommending bill be passed as amended by House Committee on Insurance
2/27/2025HouseHearing: Wednesday, February 26, 2025, 3:30 PM — Room 218-N
2/26/2025HouseFinal Action - Passed; Yea 40, Nay 0
2/19/2025SenateReceived and Introduced
2/19/2025HouseReferred to House Committee on Insurance
2/19/2025HouseCommittee of the Whole - Be passed
2/18/2025SenateCommittee Report recommending bill be passed by Senate Committee on Financial Institutions and Insurance
2/3/2025SenateHearing: Thursday, January 23, 2025, 9:30 AM — Room 546-S
1/23/2025SenateReferred to Senate Committee on Financial Institutions and Insurance
1/17/2025SenateIntroduced
1/16/2025Senate
Bill Text
As Amended by House Committee
As Introduced
Enrolled
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