HEALTH/ACC INSURANCE: Provides relative to pharmacy benefit managers. (1/1/27) (EN INCREASE SG EX See Note)
SB 387 amends Louisiana law to regulate pharmacy benefit managers (PBMs), directly affecting PBMs, local pharmacies, health insurers, and patients. It establishes new definitions (like "Maximum Allowable Cost List" and "Effective rate pricing"), requires PBMs to provide transparent compensation and services to enrollees and providers, and creates a private right to sue for violations. The bill also mandates audits of PBM practices, sets penalties for noncompliance, and repeals outdated provisions. These changes aim to increase transparency and accountability in how PBMs handle prescription drug pricing and reimbursements within Louisiana.
Bill status
signed
all 5 stages cleared
Introduction
Feb 2026
Committee Review
May 2026
Senate Passage
Apr 2026
House Passage
May 2026
Signed into Law
Jun 2026
Introduced Feb 27, 2026
Signed Jun 12, 2026
Maddy AI version diff · 4 comparisons
What changed between versions
SB387 Original
→
SB387 Act 914
·
4 edits
MODERATE
The bill was enrolled and amended to include a new representative as a sponsor and to add a new section (1868.2) regarding rebates and formularies. The definitions section was reorganized and expanded to clarify terms like 'health benefit plan' and 'pharmacy benefit management service.' Additionally, new audit criteria were introduced to limit how often pharmacies can be audited and to require that audits focus on recent claims, unless specific exceptions regarding errors or illegal activity apply.
Scope change
The bill's scope was expanded by adding a new section on rebates and formularies and by clarifying the definition of 'health benefit plan' to explicitly include services paid for through various insurance contracts, while excluding excepted benefits.
REQUIREMENT
Added a new section (1868.2) concerning rebates, formularies, and cost-sharing.
DEFINITION
Reorganized and expanded definitions, specifically clarifying 'health benefit plan' to include various insurance contracts and 'pharmacy benefit management service' to include administrative and billing services.
ENFORCEMENT
Added specific criteria for pharmacy audits, limiting them to once per year and restricting the review period to the last twelve months, with exceptions for ongoing audits or identified errors.
TECHNICAL
Updated the bill header to reflect enrollment status and added a new co-sponsor (Representative Turner).
Floor votes · Senate Apr 15, 2026 · House May 19, 2026
How they voted
38–0
Passed · 2 other
Total votes 40
Apr 15, 2026
D
Democratic12
91% Yea
R
Republican28
96% Yea
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
37
Key actions
14
Committee
14
Amendments
2
May 31, 2026
Upper · Passed
Notice House adopted the Conference Committee Report.
upper
May 31, 2026
Lower · Passed
Conference Committee Report read, roll called, yeas 76, nays 13. The Conference Committee Report was adopted.
lower
May 29, 2026
Lower · Passed
Notice of Senate adoption of Conference Committee Report.
lower
May 29, 2026
Lower · Passed
Conference Committee report received. Lies over under the rules.
lower
May 29, 2026
Upper · Passed
Conference Committee Report read; adopted by a vote of 36 yeas and 0 nays.
upper
May 29, 2026
Upper · Passed
Conference committee report received.
upper
May 26, 2026
Upper · Passed
Senate conference committee members appointed: Talbot, Bass, and Harris.
upper
May 25, 2026
Upper · Passed
Notice House Conference Committee members appointed.
upper
May 25, 2026
Introduced
Notice of Senate rejecting House amendments.
lower
May 19, 2026
Lower · Passed
Read third time by title, roll called on final passage, yeas 82, nays 14. Finally passed, ordered to the Senate.
lower
May 13, 2026
Introduced
Reported without Legislative Bureau amendments.
lower
May 12, 2026
Lower · Passed
Reported favorably (12-0). Referred to the Legislative Bureau.
lower
May 5, 2026
Committee
Read by title, amended, recommitted to the Committee on House and Governmental Affairs.
lower
Apr 29, 2026
Lower · Passed
Reported with amendments (10-4). To be recommitted to the Committee on House and Governmental Affairs.
lower
Apr 21, 2026
Committee
Read by title, under the rules, referred to the Committee on Insurance.
lower
Apr 15, 2026
Upper · Passed
Senate floor amendments read and adopted. Read by title and passed by a vote of 37 yeas and 0 nays; ordered reengrossed and sent to the House. Motion to reconsider tabled.
upper
Apr 8, 2026
Upper · Passed
Senate floor amendments read and adopted.
upper
Apr 1, 2026
Upper · Passed
Reported with amendments.
upper
Mar 9, 2026
Committee
Introduced in the Senate; read by title. Rules suspended. Read second time and referred to the Committee on Insurance.
upper
1 primary · 2 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Adam Bass
RRepublican
Co
Chris Turner
RRepublican
Co
Kirk Talbot
RRepublican
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