Pharmacy benefits.

Removed enrolled act formatting language and printing code instructions that were present in the enrolled version but are not needed in the regular senate bill version.

Added committee action history showing the bill was amended and reassigned to the Appropriations Committee on January 23, 2025.

Changed the bill title from 'SENATE ENROLLED ACT No. 140' to 'SENATE BILL No. 140' to reflect its current legislative status.

Removed page headers and footers from the enrolled act version that included committee page references.

Maintained requirements for ambulatory pharmacies to report dispensing cost data to the Indiana board of pharmacy before March 1, 2027, and annually thereafter.

Maintained requirements for pharmacy benefit managers and insurers to ensure network adequacy and file annual reports with the commissioner.

The document header changed from 'ENGROSSED SENATE BILL' to 'SENATE ENROLLED ACT', indicating the bill has passed both legislative chambers and is in its final form.

Added printing code instructions at the beginning explaining how amendments, additions, and deletions will be formatted in the official Indiana Code.

Removed the 'DIGEST' section that summarized the bill's purpose and legislative history, as this information is no longer needed in the final enrolled version.

Changed the effective date notation from 'Reprinted April 15, 2025' to 'First Regular Session of the 124th General Assembly (2025)' to reflect the official legislative session.

The effective date for the new pharmacy benefit provisions was moved from July 1, 2026 to January 1, 2026, accelerating implementation of the rules.

New restrictions were added prohibiting health carriers from contracting with pharmacy benefit managers if the health carrier owns an interest in the pharmacy benefit manager, and vice versa.

New rules prohibit third-party administrators from requiring plan sponsors to use specific pharmacy benefit managers or charging different fees based on which pharmacy benefit manager is selected.

A repealed provision that required pharmacy benefit managers to provide equal access and incentives to all pharmacies within their network was removed from the bill.

New definitions were added for terms including 'actual overpayment,' 'ambulatory pharmacy,' 'common control,' 'cost sharing,' 'health plan,' 'insured,' 'insurer,' and 'pharmacy benefit manager' to clarify the bill's application.

The bill was renumbered and reorganized from SB 140 to ES 140, with code sections restructured from individual sections to a new chapter (Chapter 24.6) containing multiple sections.

Removed requirements for ambulatory pharmacies to report dispensing cost data to the board of pharmacy before March 1, 2027 and annually thereafter.

Added prohibition preventing health carriers from contracting with pharmacy benefit managers if the health carrier has an ownership interest in the pharmacy benefit manager.

Added prohibition preventing pharmacy benefit managers from providing services for health carriers that have an ownership interest in the pharmacy benefit manager.

Added new requirement prohibiting pharmacy benefit managers from having an ownership interest in any pharmacy.

Added new provisions addressing retroactive claim denials and payment reductions for pharmacist services by pharmacy benefit managers.

Changed effective date from January 1, 2026 to July 1, 2026 for the new ownership restrictions.

Changed affected Indiana Code citations from IC 25-26-27 and IC 27-1 to IC 27-1-7-2.5 and IC 27-1-24.5-18.5.