An Act Regarding Reimbursements by Health Insurance Carriers or Pharmacy Benefits Managers to Pharmacies
Sponsored By: Kristi Mathieson (Democratic)
Became Law
Your PRIA Score
Personalized for You
How does this bill affect your finances?
Sign up for a PRIA Policy Scan to see your personalized alignment score for this bill and every other piece of legislation we track. We analyze your financial profile against policy provisions to show you exactly what matters to your wallet.
Bill Overview
Analyzed Economic Effects
1 provisions identified: 1 benefits, 0 costs, 0 mixed.
Insurers and PBMs must pay pharmacies equally
The law bars a health insurer or a pharmacy benefit manager it uses from paying any pharmacy less than an affiliated pharmacy for the same drug or service. It applies to reimbursements for prescription drugs and pharmacy services. This helps level pay between independent and affiliated pharmacies. The text does not list dollar amounts or an effective date here.
Sponsors & Cosponsors
Sponsor
Kristi Mathieson
Democratic • House
Cosponsors
Sally Cluchey
Democratic • House
Roll Call Votes
No roll call votes available for this bill.
Actions Timeline
ACTPUB Chapter 335
5/1/2026PASSED TO BE ENACTED, in concurrence.
6/12/2025SenatePASSED TO BE ENACTED. Sent for concurrence. ORDERED SENT FORTHWITH.
6/11/2025HouseReport READ and ACCEPTED, in concurrence.READ ONCE.Committee Amendment "A" (H-643) READ and ADOPTED, in concurrence.Under suspension of the Rules, READ A SECOND TIME and PASSED TO BE ENGROSSED AS AMENDED BY Committee Amendment "A" (H-643), in concurrence.Ordered sent down forthwith.
6/11/2025SenateCONSENT CALENDAR - FIRST DAYUnder suspension of the rules CONSENT CALENDAR - SECOND DAY.The Bill was PASSED TO BE ENGROSSED as Amended by Committee Amendment "A" (H-643).Sent for concurrence. ORDERED SENT FORTHWITH.
6/11/2025HouseCarried over, in the same posture, to the next special or regular session of the 132nd Legislature, pursuant to Joint Order SP 519.
3/21/2025HouseThe Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES in concurrence
1/14/2025SenateCommittee on Health Coverage, Insurance and Financial Services suggested and ordered printed. The Bill was REFERRED to the Committee on HEALTH COVERAGE, INSURANCE AND FINANCIAL SERVICES.Sent for concurrence. ORDERED SENT FORTHWITH.
1/14/2025House
Bill Text
Enacted
Engrossed
Introduced
Related Bills
LD 210 — An Act Making Unified Appropriations and Allocations from the General Fund and Other Funds for the Expenditures of State Government and Changing Certain Provisions of the Law Necessary to the Proper Operations of State Government for the Fiscal Years Ending June 30, 2025, June 30, 2026 and June 30, 2027
LD 124 — An Act to Protect the Right to Food
LD 1511 — An Act to Expand Direct Health Care Service Arrangements
LD 721 — Resolve, to Support the Full Implementation of Certified Community Behavioral Health Clinics in the State
LD 1183 — An Act to Ensure Rent-to-own Protections Apply to Mobile Home Park Tenants
LD 1240 — An Act to Align the Schedules for Climate Change Protection Plans and Grid-enhancing Technology Reviews with the Integrated Grid Planning Process