All Roll Calls
Yes: 123 • No: 0
UtahH.B. 2572025 General SessionHouseWALLET
Pharmacy Benefit Amendments
Sponsored By: Norman K Thurston (Republican)
Signed by Governor
Health InsuranceInsuranceInsurance DepartmentHealth and Human ServicesHealth CarePharmacy Benefit ManagersPharmaceuticals
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 3 benefits, 0 costs, 0 mixed.
Drug rebates must benefit health plan members
Utah health plans renewed or started on or after July 1, 2026, must use every drugmaker rebate to benefit members. Plans can lower premiums, improve health benefits, or offset deductibles or coinsurance at the pharmacy counter. Counter rebates can be split between the plan and member based on the member’s share of the cost. Plans can instead use a standard rebate amount, adjusted quarterly.
Pharmacies gain freedom to choose networks
This rule covers Utah health plans renewed or started on or after July 1, 2026. Plans cannot bar or condition a pharmacy’s participation in one network based on its participation in another. The protection does not guarantee that a particular pharmacy joins a network or that members pay less.
Self-funded plans get a no-markup option
Beginning May 7, 2025, pharmacy benefit managers must offer self-funded health plans an option without spread pricing. Spread pricing means charging a plan more than the pharmacy receives and keeping the difference. The option must follow the law’s rebate-use and pharmacy network rules. Self-funded plans do not have to choose it.
Sponsors & Cosponsors
Sponsor
Norman K Thurston
Republican • House
Cosponsors
Evan J. Vickers
Republican • Senate
Roll Call Votes
Senate vote • 3/6/2025
Senate/ passed 2nd & 3rd readings/ suspension
Yes: 23 • No: 0
Senate vote • 2/20/2025
Senate Comm - Favorable Recommendation
Yes: 4 • No: 0
House vote • 2/13/2025
House/ passed 3rd reading
Yes: 72 • No: 0
House vote • 2/5/2025
House Comm - Substitute Recommendation
Yes: 12 • No: 0
House vote • 2/5/2025
House Comm - Favorable Recommendation
Yes: 12 • No: 0
Actions Timeline
Governor Signed
3/27/2025House/ to Governor
3/13/2025HouseHouse/ received enrolled bill from Printing
3/13/2025HouseHouse/ enrolled bill to Printing
3/12/2025HouseEnrolled Bill Returned to House or Senate
3/12/2025Draft of Enrolled Bill Prepared
3/7/2025Bill Received from House for Enrolling
3/7/2025House/ signed by Speaker/ sent for enrolling
3/7/2025HouseHouse/ received from Senate
3/7/2025HouseSenate/ to House
3/6/2025SenateSenate/ signed by President/ returned to House
3/6/2025SenateSenate/ passed 2nd & 3rd readings/ suspension
3/6/2025SenateSenate/ 2nd & 3rd readings/ suspension
3/6/2025SenateSenate/ Rules to 2nd Reading Calendar
3/6/2025SenateSenate/ 2nd Reading Calendar to Rules
3/5/2025SenateSenate/ placed on 2nd Reading Calendar
2/21/2025SenateSenate/ committee report favorable
2/21/2025SenateSenate Comm - Favorable Recommendation
2/20/2025SenateSenate/ to standing committee
2/18/2025SenateSenate/ 1st reading (Introduced)
2/14/2025SenateSenate/ received from House
2/13/2025SenateHouse/ to Senate
2/13/2025HouseHouse/ passed 3rd reading
2/13/2025HouseHouse/ 3rd reading
2/13/2025HouseHouse/ 2nd reading
2/6/2025House
Bill Text
Enrolled
3/12/2025
Substitute #1
2/4/2025
Introduced
1/17/2025