PBM Model - National Association of Insurance Commissioners This Act establishes the standards and criteria for the licensure and regulation of pharmacy benefit managers providing claims processing services or other prescription drug or device services for health benefit plans
State and Federal Pharmacy Benefit Manager Legislation The PBM industry continues to evolve through legislative action, litigation, and voluntary industry changes Below is a brief round-up of recent developments including new federal and state
State Pharmacy Benefit Manager Legislation - NASHP The chart below provides a snapshot of common provisions in state PBM legislation through 2025 To learn more about each provision, check out the overview table below the chart, which includes definitions and a list of states that have passed legislation with each provision
Pharmacy Benefit Manager (PBM) Legislation Tackled Ownership . . . States accelerated legal and regulatory action in 2025 to curb perceived PBM (pharmacy benefit manager) practices that harm independent pharmacies, obscure rebate flows, and link PBM profit to drug list prices
NASHP Floats Model PBM Oversight Legislation For States A non-partisan forum of state health policymakers has written model legislation for states lawmakers who want to increase oversight of pharmaceutical benefit managers
New NASHP Model Legislation Helps States Bring Transparency to Pharmacy . . . States can use the model bill to require the licensing of PBMs, ban gag clauses that prevent pharmacists from sharing lower-price drug options with consumers, and require more transparency into who profits from rebates * Read or download NASHP’s model pharmacy benefit manager legislation here