HF 852 Iowa House · 2025-2026 Regular Session

A bill for an act relating to pharmacy benefits managers, pharmacies, and prescription drugs and including applicability provisions.

This bill regulates pharmacy benefits managers (PBMs) by defining and prohibiting certain pricing practices, such as "spread pricing." It mandates that patient cost-sharing for prescription drugs be reduced at the point of sale by at least 100% of any rebates received by the PBM or health carrier. The legislation also prevents PBMs from discriminating against pharmacies, limiting a patient's choice of pharmacy, or requiring exclusive use of mail-order pharmacies. These provisions directly affect PBMs, health carriers, pharmacies, and individuals covered by health plans.
Bill status died 1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 7, 2025 Last action May 12, 2025
Floor votes

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Full legislative history

Actions timeline

Total actions
7
Key actions
1
Committee
0
Amendments
2
May 12, 2025
Lower · Passed
Amendment H-1291 adopted.
lower
May 7, 2025
Introduced
Amendment H-1291 filed.
lower
Mar 7, 2025
Introduced
Introduced, placed on calendar.
lower
0 primary · 0 co-sponsors

Sponsors

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