Insurance, Health, Accident - As introduced, prohibits a pharmacy benefits manager from contracting with a state department, agency, or entity if the pharmacy benefits manager has been disciplined by the department of finance and administration or the department of commerce and insurance. - Amends TCA Title 4, Chapter 3; Title 8, Chapter 27; Title 56 and Title 71.

HB 2331 bars Tennessee state departments, agencies, or entities from contracting with pharmacy benefits managers (PBMs) that have been disciplined by the Department of Finance and Administration or Department of Commerce and Insurance. The bill directly affects PBMs facing disciplinary actions and state agencies seeking to hire them. Key provisions amend multiple Tennessee codes to require this prohibition for all state contracts, renewals, or amendments entered after July 1, 2026. This policy change aims to prevent state entities from working with PBMs that have violated regulations. The law applies broadly to all state agencies, not just Medicaid programs.