HB 2431 Pennsylvania House · 2025-2026 Regular Session

An Act amending the act of November 21, 2016 (P.L.1318, No.169), known as the Pharmacy Audit Integrity and Transparency Act, in enforcements, further providing for scope of enforcement authority.

This bill expands the enforcement powers of Pennsylvania's Pharmacy Audit Integrity and Transparency Act to address how Pharmacy Benefit Managers handle Medicaid prescriptions. It directly affects PBMs, pharmacies, and pharmacists by requiring PBMs to accept and process prescriptions from any pharmacy or pharmacist that is in good standing with state regulators. The law prohibits PBMs from limiting patient access to specific pharmacies based on the PBM's own private contracting choices. These changes are designed to ensure that Medicaid patients can use any qualified pharmacy without facing artificial restrictions imposed by their benefit manager.
Bill status in committee 1 of 4 stages cleared
Introduction
Apr 2026
Committee Review
Floor Vote
Governor
Introduced Apr 21, 2026 Last action Apr 21, 2026