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Iowa House sends bill regulating pharmacy benefit managers to Gov. Kim Reynolds

  • The Iowa House approved Senate File 383 on May 12, 2025, sending a bill regulating pharmacy benefit managers to Governor Kim Reynolds in Des Moines.
  • The bill aims to curb pharmacy benefit managers' practices that contribute to the closure of over 200 Iowa pharmacies and rising drug prices nationwide.
  • It requires pharmacies to be reimbursed at or above average state or national drug acquisition costs plus a $10.68 dispensing fee, with new restrictions on PBM strategies favoring certain pharmacies.
  • The legislation passed 75-15, with supporters citing protection for rural pharmacies and opponents warning it could increase insurance costs by about $169 per insured Iowan annually and add $340 million to private plans.
  • If signed into law, Iowa will join other states enacting PBM reforms intended to improve pricing transparency and preserve local pharmacies, although concerns about increased costs remain.
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WHO-DT broke the news in on Monday, May 12, 2025.
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