Pharmacy Benefit Amendments
HB 257 amends Utah's health insurance laws to regulate pharmacy benefits, directly affecting health benefit plans, pharmacy benefit managers, and pharmacies. It requires health plans to use drug rebates exclusively to lower enrollees' costs (through reduced deductibles, lower premiums, or enhanced coverage) and mandates pharmacy benefit managers to offer specific options to self-funded health plans. The bill also directs the Insurance Commissioner to assist pharmacy associations in creating a form outlining pharmacies' rights regarding benefits and managers. These changes aim to increase transparency and ensure rebates directly benefit consumers, without appropriating new funds.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2025
Committee Review
Feb 2025
House Passage
Mar 2025
Senate Passage
Mar 2025
Signed into Law
Mar 2025
Introduced Jan 21, 2025
Signed Mar 27, 2025
Maddy AI version diff · 2 comparisons
What changed between versions
Substitute #1
→
Enrolled
·
3 edits
·
Mar 27, 2025
MINOR
The bill text was reformatted to remove redundant section headers and fix numbering errors, while adding a new requirement for pharmacy benefit managers to offer self-funded plans an option that excludes 'spread pricing' (charging more to the plan than they pay pharmacies).
Scope change
The bill's scope was expanded to include a new mandate for pharmacy benefit managers to offer specific options to self-funded health benefit plans.
TECHNICAL
Removed redundant section headers and fixed numbering errors in the definitions section of 31A-46-102.
REQUIREMENT
Added a new Section 4 requiring pharmacy benefit managers to offer self-funded health benefit plans an option for pharmacy benefit management services that complies with rebate rules and does not include 'spread pricing'.
TIMELINE
The effective date was updated from February 4, 2025 to March 11, 2025.
Floor votes
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
34
Key actions
7
Committee
5
Mar 27, 2025
Signed into law
Governor Signed
executive
Mar 7, 2025
Legislature · Passed
House/ signed by Speaker/ sent for enrolling
legislature
Mar 7, 2025
Lower · Passed
Senate/ signed by President/ returned to House
lower
Feb 21, 2025
Upper · Passed
Senate/ committee report favorable
upper
Feb 21, 2025
Upper · Passed
Senate Comm - Favorable Recommendation
upper
Feb 18, 2025
Committee
Senate/ to standing committee
upper
Feb 14, 2025
Introduced
Senate/ 1st reading (Introduced)
upper
Feb 13, 2025
Upper · Passed
House/ passed 3rd reading
upper
Feb 5, 2025
Lower · Passed
House Comm - Favorable Recommendation
lower
Feb 3, 2025
Committee
House/ to standing committee
lower
Jan 21, 2025
Introduced
House/ 1st reading (Introduced)
lower
1 primary · 1 co-sponsor
Sponsors
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