# Kansas SB 20: Enacting the Kansas consumer prescription protection and accountability act and providing for regulation and registration of pharmacy benefits managers. Kansas SB 20, Enacting the Kansas consumer prescription protection and accountability act and providing for regulation and registration of pharmacy benefits managers., is a 2025–2026 Regular Session Senate bill sponsored by Committee on Financial Institutions and Insurance; status signed, last action 2026-04-09 (Enrolled and presented to Governor on Friday, April 3, 2026); PRIA reads it as touching household money (as of 2026-10-17). - Canonical: https://policyrisk.com/state-bill/KS-SB20-2025-2026 - As of: 2026-10-17 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Kansas SB 20 - State: Kansas - Session: 2025–2026 Regular Session - Title: Enacting the Kansas consumer prescription protection and accountability act and providing for regulation and registration of pharmacy benefits managers. - Status: signed - Chamber: Senate - Introduced: 2025-01-16 - Last action: 2026-04-09, Enrolled and presented to Governor on Friday, April 3, 2026 - Sponsor: Committee on Financial Institutions and Insurance - Cosponsors: 0 - Subjects: house committee on insurance, senate committee on financial institutions and insurance - Touches household money: yes - Roll calls: 8 (552 yes, 92 no in all) - Economic provisions PRIA read: 7 ## Summary No summary available. ## Bill overview: provisions PRIA read - Pharmacies gain minimum payments and contract access: benefit, medium. 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 t… - Patients and pharmacies gain fee protections: benefit, low. 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… - Pharmacies gain audit notice and response rights: benefit, low. 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 a… - Pharmacies gain limits on audit recoveries: benefit, low. 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 mo… - Drug benefit managers face state oversight: cost, low. 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' compens… - Pharmacy auditors must register and pay fees: cost, low. 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.… - Drug benefit managers must disclose payments: mixed, low. 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% ab… ## Sponsors and cosponsors - Sponsor: Committee on Financial Institutions and Insurance ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-04-23 | Senate | Yea: 32 Nay: 8 | pass | 32 | 8 | | | 2026-04-23 | Senate | Yea: 104 Nay: 17 | pass | 104 | 17 | | | 2026-04-23 | Senate | Yea: 100 Nay: 21 | pass | 100 | 21 | | | 2026-04-23 | Senate | Yea: 40 Nay: 0 | pass | 40 | 0 | | | 2026-03-24 | Senate | Conference Committee Report was adopted | pass | 32 | 8 | | | 2026-03-23 | House | Conference Committee Report was adopted | pass | 104 | 17 | | | 2025-03-07 | House | Emergency Final Action - Passed as amended | pass | 100 | 21 | | | 2025-02-19 | Senate | Final Action - Passed | pass | 40 | 0 | | ## Actions (23) - 2026-04-09: Enrolled and presented to Governor on Friday, April 3, 2026 (Senate) - 2026-04-09: Approved by Governor on Thursday, April 9, 2026 (Senate) - 2026-03-24: Conference Committee Report was adopted; Yea 32, Nay 8 (Senate) - 2026-03-23: Conference committee report now available (House) - 2026-03-23: Motion to suspend rule 1502 adopted (House) - 2026-03-23: Substitute motion to not adopt and appoint a conference committee failed (House) - 2026-03-23: Conference Committee Report was adopted; Yea 104, Nay 17, Absent 4 (House) - 2025-03-11: Motion to accede adopted; Rep. Bill Sutton, Rep. Brian Bergkamp and Rep. Cindy Neighbor appointed as conferees (House) - 2025-03-10: Nonconcurred with amendments; Conference Committee requested; appointed Sen. Brenda Dietrich, Sen. Michael Fagg and Sen. Marci Francisco (Senate) - 2025-03-07: Committee of the Whole - Committee Report be adopted (House) - 2025-03-07: Committee of the Whole - Be passed as amended (House) - 2025-03-07: Motion to advance to Emergency Final Action adopted (House) - 2025-03-07: Emergency Final Action - Passed as amended; Yea 100, Nay 21, Absent 4 (House) - 2025-02-27: Committee Report recommending bill be passed as amended by House Committee on Insurance (House) - 2025-02-26: Hearing: Wednesday, February 26, 2025, 3:30 PM — Room 218-N (House) - 2025-02-19: Final Action - Passed; Yea 40, Nay 0 (Senate) - 2025-02-19: Received and Introduced (House) - 2025-02-19: Referred to House Committee on Insurance (House) - 2025-02-18: Committee of the Whole - Be passed (Senate) - 2025-02-03: Committee Report recommending bill be passed by Senate Committee on Financial Institutions and Insurance (Senate) - 2025-01-23: Hearing: Thursday, January 23, 2025, 9:30 AM — Room 546-S (Senate) - 2025-01-17: Referred to Senate Committee on Financial Institutions and Insurance (Senate) - 2025-01-16: Introduced (Senate) ## Bill text - As Amended by House Committee: [PDF](https://www.kslegislature.gov/b2025_26/bills/download/?apn=b2025_26/year2/ready_for_publication/sb20_01_0000.pdf) - As Introduced: [PDF](https://www.kslegislature.gov/b2025_26/bills/download/?apn=b2025_26/year2/ready_for_publication/sb_20/sb20_00_0000.pdf) - Enrolled: [PDF](https://www.kslegislature.gov/b2025_26/bills/download/?apn=b2025_26/year2/ready_for_publication/sb_20/sb20_enrolled.pdf) ## Related bills - SB 430: Adding mitragynine to schedule I of the uniform controlled substances act and reconciling multiple amendments to certain statutes in the Kansas criminal code. (signed) - SB 82: Providing tax credits for expenditures for lockable gun and ammunition storage and the retail sale of higher ethanol blends of fuel, discontinuing the tax cred… (signed) - SB 300: Providing for the apportionment of business income by manufacturers of alcoholic liquor depending on whether the taxpayer is a qualifying Kansas investor or a… (signed) - HB 2029: Reconciling multiple amendments to certain statutes. (signed) - HB 2018: Senate Substitute for HB 2018 by Committee on Federal and State Affairs - Creating the crime of interference with the conduct of a religious assembly, providin… (became law) - HB 2036: Providing a Kansas income tax subtraction modification for certain amounts received as compensation for members of the armed forces. (failed) ## Sources - [As Amended by House Committee (PDF)](https://www.kslegislature.gov/b2025_26/bills/download/?apn=b2025_26/year2/ready_for_publication/sb20_01_0000.pdf) - [As Introduced (PDF)](https://www.kslegislature.gov/b2025_26/bills/download/?apn=b2025_26/year2/ready_for_publication/sb_20/sb20_00_0000.pdf) - [Enrolled (PDF)](https://www.kslegislature.gov/b2025_26/bills/download/?apn=b2025_26/year2/ready_for_publication/sb_20/sb20_enrolled.pdf) ## Related - [SB 430: Adding mitragynine to schedule I of the uniform controlled substances act and r…](https://policyrisk.com/state-bill/KS-SB430-2025-2026) - [SB 82: Providing tax credits for expenditures for lockable gun and ammunition storage…](https://policyrisk.com/state-bill/KS-SB82-2025-2026) - [SB 300: Providing for the apportionment of business income by manufacturers of alcoholi…](https://policyrisk.com/state-bill/KS-SB300-2025-2026) - [HB 2029: Reconciling multiple amendments to certain statutes.](https://policyrisk.com/state-bill/KS-HB2029-2025-2026) - [HB 2018: Senate Substitute for HB 2018 by Committee on Federal and State Affairs - Creat…](https://policyrisk.com/state-bill/KS-HB2018-2025-2026) - [HB 2036: Providing a Kansas income tax subtraction modification for certain amounts rece…](https://policyrisk.com/state-bill/KS-HB2036-2025-2026) - [Kansas bills](https://policyrisk.com/states/kansas/bills) - [Kansas state hub](https://policyrisk.com/states/kansas) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/KS-SB20-2025-2026 (as of 2026-10-17).