# Virginia SB668: State pharmacy benefits manager; contractual provisions, report. Virginia SB668, State pharmacy benefits manager; contractual provisions, report., is a 2027 Regular Session Senate bill sponsored by Aaron R. Rouse (Democratic); status in committee, last action 2026-07-21 (Continued from last session) (as of 2026-10-11). - Canonical: https://policyrisk.com/state-bill/VA-SB668-2027 - As of: 2026-10-11 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Virginia SB668 - State: Virginia - Session: 2027 Regular Session - Title: State pharmacy benefits manager; contractual provisions, report. - Status: in committee - Chamber: Senate - Introduced: 2026-01-14 - Last action: 2026-07-21, Continued from last session - Sponsor: Aaron R. Rouse (Democratic) - Cosponsors: 0 - Subjects: Finance and Appropriations - Touches household money: no - Economic provisions PRIA read: 0 ## Summary State pharmacy benefits manager; contractual provisions; report. Requires the Department of Medical Assistance Services' contract with the state pharmacy benefits manager to (i) require that that ingredient-cost reimbursement is based on the national average drug acquisition cost, or if unavailable, the wholesale acquisition cost minus a discount set by the Department, plus a professional dispensing fee, determined by the Department; (ii) require real-time or near real-time transparency in drug costs, rebates collected and paid, dispensing fees paid, administrative fees, and all other charges, fees, costs, and holdbacks, claim denials appeals, and network participation; (iii) prohibit the state pharmacy benefits manager from steering Medicaid recipients to affiliated pharmacies through differential cost-sharing, restrictive network design, or the mandatory use of a mail order pharmacy provider; (iv) require the state pharmacy benefits manager to (a) meet network adequacy standards established by the Department; (b) allow any willing pharmacy to participate in the pharmacy network; (c) verify that all contracted pharmacies are actively accepting Medicaid recipients; (d) submit annual reports containing certain information; (e) disclose to the Department pricing and maximum acquisition cost methodologies; and (f) allow invoice-based or national average drug acquisition cost-based appeals and require an adjustment of rates network-wide when an appeal is upheld; and (v) include enforcement mechanisms and monetary penalties for noncompliance. Additionally, the bill requires Department to annually calculate the savings generated by the use of the state pharmacy benefits manager and to annually increase its dispensing fee by the amount of such savings. The bill requires the Department to annually (1) publish and make available on its website its annual and total savings achieved, the annual and total amount applied to dispensing fees increases, and the updated dispensing fees and (2) report to the General Assembly on the state pharmacy benefits manager's compliance, national average drug acquisition cost compliance, pharmacy reimbursement trends, network adequacy compliance, and dispensing fee sufficiency. ## Bill overview No economic impacts identified for this bill. ## Sponsors and cosponsors - Sponsor: Aaron R. Rouse (Democratic), Senate ## Actions (7) - 2026-07-21: Continued from last session (Senate) - 2026-02-11: Continued to 2027 in Finance and Appropriations (14-Y 1-N) (Senate) - 2026-02-04: Fiscal Impact Statement from Department of Planning and Budget (SB668) (Senate) - 2026-02-02: Reported from Commerce and Labor and rereferred to Finance and Appropriations (11-Y 1-N) (Senate) - 2026-01-29: Rereferred from Education and Health to Commerce and Labor (13-Y 0-N) (Senate) - 2026-01-14: Referred to Committee on Education and Health (Senate) - 2026-01-14: Prefiled and ordered printed; Offered 01-14-2026 26103768D (Senate) ## Bill text - Introduced, 2026-01-14: [HTML](https://lis.blob.core.windows.net/files/1231473.HTML), [PDF](https://lis.blob.core.windows.net/files/1231472.PDF) ## Related bills - SB844: Licensed clinical psychologists; prescriptive authority; report. (in committee) - HB1535: Individuals with developmental or intellectual disabilities; admissibility of statements. (introduced) - HB1534: School service providers; deletion of student and family personal information. (introduced) - SB843: Data centers; state permitting, local approval, moratorium, sunset. (in committee) - SB842: High school student athletes; eligibility, enrollment. (in committee) - SB840: Corrections, Director of the Department of; placement of inmates, Red Onion State Prison. (in committee) ## Sources - [Introduced (HTML)](https://lis.blob.core.windows.net/files/1231473.HTML) - [Introduced (PDF)](https://lis.blob.core.windows.net/files/1231472.PDF) ## Related - [SB844: Licensed clinical psychologists; prescriptive authority; report.](https://policyrisk.com/state-bill/VA-SB844-2027) - [HB1535: Individuals with developmental or intellectual disabilities; admissibility of s…](https://policyrisk.com/state-bill/VA-HB1535-2027) - [HB1534: School service providers; deletion of student and family personal information.](https://policyrisk.com/state-bill/VA-HB1534-2027) - [SB843: Data centers; state permitting, local approval, moratorium, sunset.](https://policyrisk.com/state-bill/VA-SB843-2027) - [SB842: High school student athletes; eligibility, enrollment.](https://policyrisk.com/state-bill/VA-SB842-2027) - [SB840: Corrections, Director of the Department of; placement of inmates, Red Onion Sta…](https://policyrisk.com/state-bill/VA-SB840-2027) - [Virginia bills](https://policyrisk.com/states/virginia/bills) - [Virginia state hub](https://policyrisk.com/states/virginia) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/VA-SB668-2027 (as of 2026-10-11).