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HB0173

Changes to Pharmacy Benefit Managers

Last scannedOct 22, 2026, 2:19 AM

In one sentence

This act amends rules related to pharmacy benefit managers and requires insurance companies to create rules about in-network pharmacies.

What it does

  • Adds a new rule that says people can choose any in-network pharmacy without being pushed towards one by discounts or lower copays.
  • Requires the Department of Insurance to make rules about how many and where in-network pharmacies should be available.

Who it affects

  • Insurance companies
  • Pharmacy benefit managers

Limits and unknowns

  • This bill did not pass and was not considered for introduction.
  • It is unclear how many in-network pharmacies will be required or where they must be located.

Plain language

Terms to know

In-network pharmacy
A pharmacy that has a contract with an insurance company to provide services at lower costs.
Copay
The amount of money a person pays for each prescription drug after their health insurance covers part of the cost.

Official record

Sources

Source checked

Official activity

Bill history

  1. H Did not Consider for IntroductionHouse
  2. H Received for IntroductionHouse
  3. Bill Number AssignedLSO