# Rhode Island S3059: AN ACT RELATING TO INSURANCE -- PHARMACY FREEDOM OF CHOICE--FAIR COMPETITION AND PRACTICES . Rhode Island S3059, AN ACT RELATING TO INSURANCE -- PHARMACY FREEDOM OF CHOICE--FAIR COMPETITION AND PRACTICES ., is a 2026 Regular Session Senate bill sponsored by Robert Britto (Democratic); status signed, last action 2026-06-22 (Signed by Governor — Chapter 369); PRIA reads it as touching household money (as of 2026-11-01). - Canonical: https://policyrisk.com/state-bill/RI-S3059-2026 - As of: 2026-11-01 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Rhode Island S3059 - State: Rhode Island - Session: 2026 Regular Session - Title: AN ACT RELATING TO INSURANCE -- PHARMACY FREEDOM OF CHOICE--FAIR COMPETITION AND PRACTICES . - Status: signed - Chamber: Senate - Introduced: 2026-03-12 - Last action: 2026-06-22, Signed by Governor — Chapter 369 - Sponsor: Robert Britto (Democratic) - Cosponsors: 5 - Touches household money: yes - Roll calls: 3 (146 yes, 0 no in all) - Economic provisions PRIA read: 5 ## Summary No summary available. ## Bill overview: provisions PRIA read - Stronger protections at the pharmacy counter: benefit, medium. The law bans PBM gag clauses. Your pharmacist can tell you the price, cheaper options, and cash deals. Your copay cannot be more than the pharmacy’s total charge. The pharmacy keeps the adjudicated amount, and the PBM cannot take it back. PBMs cannot change your prescription without your prescriber… - Fair generic pricing appeals for pharmacies: benefit, low. PBMs must run a clear appeal process for multi‑source generic prices. A pharmacy has 30 business days after the first claim to appeal. The PBM must acknowledge by email and decide within 7 business days. If the appeal is valid, the PBM fixes the price back to the claim date and the pharmacy can rev… - Stronger state oversight of PBM money: benefit, low. All money PBMs get for pharmacy services is held in trust and used only as contracts or law allow, including spread pricing funds. PBMs must give insurers written accounts at least yearly of rebates, discounts, clawbacks, fees, conflicts, and related financial and use data. PBMs may mark data as a… - Rules for pharmacy access and networks: benefit, low. The law defines key PBM and network terms, including spread pricing and who can bid to join a restricted network. Insurers that offer pharmacy benefits must show the state they can provide enough pharmacies, staff, access, and steady service in their area. These rules help keep in‑network pharmacy… - PBMs and insurers pay enforcement costs: cost, low. When the state enforces this law, the PBMs and insurers named in the complaint split the enforcement costs equally. Costs can include 150% of enforcement staff salaries and benefits (net of any reimbursements), reasonable tech costs, and training. Any surplus from other enforcement actions goes to… ## Sponsors and cosponsors - Sponsor: Robert Britto (Democratic), Senate - Cosponsor: Frank A. Ciccone, III (Democratic), Senate - Cosponsor: Matthew L. LaMountain (Democratic), Senate - Cosponsor: Valarie J. Lawson (Democratic), Senate - Cosponsor: Melissa A. Murray (Democratic), Senate - Cosponsor: David P. Tikoian (Democratic), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-06-11 | Senate | RELATING TO INSURANCE -- PHARMACY FREEDOM OF CHOICE In Concurrence | pass | 38 | 0 | | | 2026-06-10 | House | INS./PHARMACY FREEDOM OF CHOICE PASSAGE | pass | 70 | 0 | | | 2026-05-26 | Senate | RELATING TO INSURANCE -- FAIR COMPETITION AND PRACTICES Passage | pass | 38 | 0 | | ## Actions (18) - 2026-06-22: Signed by Governor — Chapter 369 (Governor) - 2026-06-18: Transmitted to Governor (Governor) - 2026-06-11: Senate passed Sub B in concurrence (Senate) - 2026-06-10: Placed on Senate Calendar (06/11/2026) (Senate) - 2026-06-10: House passed Sub B (House) - 2026-06-09: Placed on House Calendar (06/10/2026) (House) - 2026-06-04: Committee recommends passage of Sub B - 2026-06-02: Proposed Substitute - 2026-06-02: Scheduled for consideration (06/04/2026) - 2026-05-27: Referred to House Health & Human Services (House) - 2026-05-26: Senate passed Sub A (Senate) - 2026-05-20: Placed on Senate Calendar (05/26/2026) (Senate) - 2026-05-19: Committee recommends passage of Sub A - 2026-05-18: Proposed Substitute - 2026-05-15: Scheduled for consideration (05/19/2026) - 2026-03-26: Committee recommended measure be held for further study - 2026-03-20: Scheduled for hearing and/or consideration (03/26/2026) - 2026-03-12: Introduced, referred to Senate Health and Human Services (Senate) ## Bill text - S3059 - As Introduced, 2026-03-12: [HTML](https://webserver.rilegislature.gov/BillText26/SenateText26/S3059.htm), [PDF](https://webserver.rilegislature.gov/BillText26/SenateText26/S3059.pdf) - S3059 - Substitute, 2026-03-12: [HTML](https://webserver.rilegislature.gov/BillText26/SenateText26/S3059A.htm), [PDF](https://webserver.rilegislature.gov/BillText26/SenateText26/S3059A.pdf) ## Related bills - S3047: AN ACT RELATING TO COURTS AND CIVIL PROCEDURE -- PROCEDURE GENERALLY -- DISTRICT COURT PRACTICE . (became law) - H8605: JOINT RESOLUTION MAKING AN APPROPRIATION TO PAY CERTAIN CLAIMS . (became law) - H8580: AN ACT RELATING TO THE NORTH TIVERTON FIRE DISTRICT . (became law) - H8586: AN ACT RELATING TO HIGHWAYS -- RHODE ISLAND TURNPIKE AND BRIDGE AUTHORITY . (became law) - H8525: AN ACT RELATING TO TAXATION -- LEVY AND ASSESSMENT OF LOCAL TAXES . (became law) - H8506: AN ACT RELATING TO TOWNS AND CITIES -- RELATING TO CENTRAL FALLS PENSION PLAN . (became law) ## Sources - [S3059 - As Introduced (HTML)](https://webserver.rilegislature.gov/BillText26/SenateText26/S3059.htm) - [S3059 - As Introduced (PDF)](https://webserver.rilegislature.gov/BillText26/SenateText26/S3059.pdf) - [S3059 - Substitute (HTML)](https://webserver.rilegislature.gov/BillText26/SenateText26/S3059A.htm) - [S3059 - Substitute (PDF)](https://webserver.rilegislature.gov/BillText26/SenateText26/S3059A.pdf) ## Related - [S3047: AN ACT RELATING TO COURTS AND CIVIL PROCEDURE -- PROCEDURE GENERALLY -- DISTRIC…](https://policyrisk.com/state-bill/RI-S3047-2026) - [H8605: JOINT RESOLUTION MAKING AN APPROPRIATION TO PAY CERTAIN CLAIMS .](https://policyrisk.com/state-bill/RI-H8605-2026) - [H8580: AN ACT RELATING TO THE NORTH TIVERTON FIRE DISTRICT .](https://policyrisk.com/state-bill/RI-H8580-2026) - [H8586: AN ACT RELATING TO HIGHWAYS -- RHODE ISLAND TURNPIKE AND BRIDGE AUTHORITY .](https://policyrisk.com/state-bill/RI-H8586-2026) - [H8525: AN ACT RELATING TO TAXATION -- LEVY AND ASSESSMENT OF LOCAL TAXES .](https://policyrisk.com/state-bill/RI-H8525-2026) - [H8506: AN ACT RELATING TO TOWNS AND CITIES -- RELATING TO CENTRAL FALLS PENSION PLAN .](https://policyrisk.com/state-bill/RI-H8506-2026) - [Rhode Island bills](https://policyrisk.com/states/rhode-island/bills) - [Rhode Island state hub](https://policyrisk.com/states/rhode-island) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/RI-S3059-2026 (as of 2026-11-01).