HEALTH/ACC INSURANCE: Provides relative to pharmacy benefit managers. (gov sig)

SB 194 regulates pharmacy benefit managers (PBMs) in Louisiana by prohibiting them from charging fees tied to drug prices, savings, or patient costs. It requires PBMs to charge fixed "pharmacy benefit management fees" for services like drug pricing negotiations and claims processing, and mandates annual compliance certifications to the insurance commissioner. The bill also grants insurers and the commissioner annual audit rights to review PBM reimbursement data, including differences between payments to affiliated and unaffiliated pharmacies. This directly affects PBMs operating in Louisiana and the insurers/health plans they contract with, aiming to increase transparency in PBM compensation practices.