# Montana HB 740: Revise laws relating to pharmacies, pharmacy benefit managers, and other entities

Montana HB 740, Revise laws relating to pharmacies, pharmacy benefit managers, and other entities, is a 69th Legislature, Regular Session (2025) House bill sponsored by Marta Bertoglio (Republican); status signed, last action 2025-05-08 (Chapter Number Assigned); PRIA reads it as touching household money (as of 2026-10-12).

- Canonical: https://policyrisk.com/state-bill/MT-HB740-2025
- As of: 2026-10-12
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Montana HB 740
- State: Montana
- Session: 69th Legislature, Regular Session (2025)
- Title: Revise laws relating to pharmacies, pharmacy benefit managers, and other entities
- Status: signed
- Chamber: House
- Introduced: 2025-02-25
- Last action: 2025-05-08, Chapter Number Assigned
- Sponsor: Marta Bertoglio (Republican)
- Cosponsors: 1
- Subjects: Contracts
- Touches household money: yes
- Roll calls: 8 (557 yes, 87 no in all)
- Economic provisions PRIA read: 9

## Summary

No summary available.

## Bill overview: provisions PRIA read

- Minimum pay for independent pharmacies: benefit, high. Beginning 2025-10-01, independent pharmacies must be paid at least the NADAC in effect on the claim date plus a professional dispensing fee of at least $15 per prescription. If no NADAC exists for a generic drug, payment must be 100% of WAC plus the dispensing fee. The $15 fee increases every Janua…
- Same rules at any pharmacy: benefit, medium. Beginning 2025-10-01, PBMs must use the same utilization rules, fees, copays, days’ supply limits, and other conditions no matter where you fill—local, mail order, or a PBM-owned pharmacy. PBMs cannot reimburse a network pharmacy less than the PBM’s contract price with the insurer, and they cannot…
- Fairer pharmacy contracts and network access: benefit, medium. Beginning 2025-10-01, PBMs cannot require accreditation beyond state or federal licensure and may not exclude a new or relocated pharmacy unless there is a pending fraud, waste, or abuse investigation. PBMs must offer renewal at least every 3 years, allow 90-day termination, finish credentialing wi…
- Limits on PBM audits and recoupments: benefit, medium. Beginning 2025-10-01, auditors may not include dispensing fees in recoupments except in four cases: not dispensed, prescriber denied authorization, pharmacy error, or the overpayment is only an extra dispensing fee. They may not collect money or penalties until the audit and all appeals are final,…
- PBM junk fees and payment rules: benefit, medium. Beginning 2025-10-01, PBMs, payers, and discount card processors may not charge pharmacies claim submission, enrollment, credentialing, remittance, or other retroactive or claim-related fees. Reimbursements must be paid by bank transfer, check, or another method that does not charge the pharmacy a…
- Stop retroactive clawbacks and 'effective rates': benefit, medium. Beginning 2025-10-01, PBMs and payers cannot cut pharmacy payments through reconciliations to an "effective rate" or DIR-style fees. Contracts cannot set payment based on an aggregate "effective rate"; the law defines this practice. Performance-based fees may use only measures from a designated pha…
- Timely, transparent pharmacy pricing data: benefit, medium. Beginning 2025-10-01, PBMs and plan sponsors must share the sources they use to set pharmacy pricing and give pharmacies searchable access to plan-specific prices. They must update drug list prices at least every 10 calendar days and process increases on the same schedule as decreases. If using ref…
- Pharmacists can share cheaper options: benefit, low. Beginning 2025-10-01, pharmacists may discuss how drugs are paid for and suggest lower-cost alternatives. Plans and PBMs may not punish pharmacists for this. Your copay cannot be higher than the total charges the pharmacy submits. HIPAA still limits some disclosures. These protections end 2029-06-3…
- Pharmacy speech, delivery, and legal rights: benefit, low. Beginning 2025-10-01, PBMs and payers cannot stop a pharmacy or pharmacist from joining class-action lawsuits. Pharmacies may share adjudicated reimbursement information with plan sponsors or patients when allowed by HIPAA, and may give cost or clinical information about alternatives. Pharmacies ma…

## Sponsors and cosponsors

- Sponsor: Marta Bertoglio (Republican), House
- Cosponsor: Steve Fitzpatrick (Republican), House

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2025-04-18 | House | Do Concur | pass | 63 | 35 |   |
| 2025-04-17 | House | Do Concur | pass | 92 | 8 |   |
| 2025-04-12 | Senate | Do Concur | pass | 39 | 11 |   |
| 2025-04-10 | Senate | AMD-HB0740.004.001 Usher D/PASS | pass | 50 | 0 |   |
| 2025-04-10 | Senate | Do Concur As Amended | pass | 28 | 22 |   |
| 2025-03-07 | House | Do Pass | pass | 98 | 1 |   |
| 2025-03-05 | House | AMD-HB0740.002.001 Bertoglio DO PASS | pass | 89 | 9 |   |
| 2025-03-05 | House | Do Pass As Amended | pass | 98 | 1 |   |

## Actions (45)

- 2025-05-08: Chapter Number Assigned (House)
- 2025-05-05: Signed by Governor (House)
- 2025-04-28: Transmitted to Governor (House)
- 2025-04-28: Signed by President (Senate)
- 2025-04-25: Signed by Speaker (House)
- 2025-04-22: Revised Fiscal Note Printed (House)
- 2025-04-22: Fiscal Note Unsigned (House)
- 2025-04-21: Returned from Enrolling (House)
- 2025-04-18: Sent to Enrolling (House)
- 2025-04-18: 3rd Reading Senate Amendments (House)
- 2025-04-18: Revised Fiscal Note Received (House)
- 2025-04-17: 2nd Reading Senate Amendments (House)
- 2025-04-12: Returned to House with Amendments (Senate)
- 2025-04-12: 3rd Reading (Senate)
- 2025-04-11: Committee Report (Senate)
- 2025-04-11: Committee Executive Action (Senate)
- 2025-04-10: Hearing (Senate)
- 2025-04-10: Rereferred to Committee (Senate)
- 2025-04-10: 2nd Reading (Senate)
- 2025-04-10: 2nd Reading Motion to Amend (Senate)
- 2025-04-10: Revised Fiscal Note Requested (House)
- 2025-04-08: Committee Report (Senate)
- 2025-04-08: Committee Executive Action (Senate)
- 2025-03-27: Hearing (Senate)
- 2025-03-27: Fiscal Note Unsigned (House)
- 2025-03-26: Revised Fiscal Note Received (House)
- 2025-03-21: Hearing Canceled (Senate)
- 2025-03-20: Hearing (Senate)
- 2025-03-18: Referred to Committee (Senate)
- 2025-03-18: Revised Fiscal Note Requested (House)
- 2025-03-14: 1st Reading (Senate)
- 2025-03-07: Transmitted to Senate (House)
- 2025-03-07: 3rd Reading (House)
- 2025-03-05: 2nd Reading (House)
- 2025-03-05: 2nd Reading Motion to Amend (House)
- 2025-03-03: Committee Report (House)
- 2025-03-03: Fiscal Note Printed (House)
- 2025-03-03: Fiscal Note Signed (House)
- 2025-03-03: Fiscal Note Received (House)
- 2025-03-01: Committee Executive Action (House)
- 2025-02-26: Hearing (House)
- 2025-02-25: 1st Reading (House)
- 2025-02-25: Referred to Committee (House)
- 2025-02-25: Fiscal Note Requested (House)
- 2025-02-25: Introduced (House)

## Bill text

- Enrolled, 2025-04-21: [PDF](https://docs.legmt.gov/download-ticket?ticketId=91688a20-06a9-4fbb-95fe-eb9a0a99c038)
- As Amended (Version 5), 2025-04-10: [PDF](https://docs.legmt.gov/download-ticket?ticketId=632cc3a0-23d0-473e-845e-2927cfa58812)
- As Amended (Version 4), 2025-04-08: [PDF](https://docs.legmt.gov/download-ticket?ticketId=1b3afb50-7348-4a12-a447-09e04b456a7e)
- As Amended (Version 3), 2025-03-05: [PDF](https://docs.legmt.gov/download-ticket?ticketId=189ec840-512f-486a-908d-f4903273a66c)
- As Amended (Version 2), 2025-03-03: [PDF](https://docs.legmt.gov/download-ticket?ticketId=aa24b5d0-1861-4d0e-8a82-6d4dfaf46d3b)
- Introduced, 2025-02-25: [PDF](https://docs.legmt.gov/download-ticket?ticketId=3211a5c0-b68e-48c4-a171-cbc7c86f7ab4)

## Related bills

- SB 437: Revise definition of sex in Montana law (signed)
- HB 831: Increase elderly homeowner and renter income tax credit (vetoed)
- HB 628: Revise early literacy targeted intervention laws (vetoed)
- SB 410: Provide for Montana genomic security act (vetoed)
- SB 422: Generally revise laws relating to insurance coverage relating to cancer (vetoed)
- SB 424: Revising the disabled veteran property tax assistance program (vetoed)

## Sources
- [Enrolled (PDF)](https://docs.legmt.gov/download-ticket?ticketId=91688a20-06a9-4fbb-95fe-eb9a0a99c038)
- [As Amended (Version 5) (PDF)](https://docs.legmt.gov/download-ticket?ticketId=632cc3a0-23d0-473e-845e-2927cfa58812)
- [As Amended (Version 4) (PDF)](https://docs.legmt.gov/download-ticket?ticketId=1b3afb50-7348-4a12-a447-09e04b456a7e)
- [As Amended (Version 3) (PDF)](https://docs.legmt.gov/download-ticket?ticketId=189ec840-512f-486a-908d-f4903273a66c)
- [As Amended (Version 2) (PDF)](https://docs.legmt.gov/download-ticket?ticketId=aa24b5d0-1861-4d0e-8a82-6d4dfaf46d3b)
- [Introduced (PDF)](https://docs.legmt.gov/download-ticket?ticketId=3211a5c0-b68e-48c4-a171-cbc7c86f7ab4)

## Related
- [SB 437: Revise definition of sex in Montana law](https://policyrisk.com/state-bill/MT-SB437-2025)
- [HB 831: Increase elderly homeowner and renter income tax credit](https://policyrisk.com/state-bill/MT-HB831-2025)
- [HB 628: Revise early literacy targeted intervention laws](https://policyrisk.com/state-bill/MT-HB628-2025)
- [SB 410: Provide for Montana genomic security act](https://policyrisk.com/state-bill/MT-SB410-2025)
- [SB 422: Generally revise laws relating to insurance coverage relating to cancer](https://policyrisk.com/state-bill/MT-SB422-2025)
- [SB 424: Revising the disabled veteran property tax assistance program](https://policyrisk.com/state-bill/MT-SB424-2025)
- [Montana bills](https://policyrisk.com/states/montana/bills)
- [Montana state hub](https://policyrisk.com/states/montana)
- [All state legislation](https://policyrisk.com/state-bills)

Source: PRIA, https://policyrisk.com/state-bill/MT-HB740-2025 (as of 2026-10-12).
