SB 20 Kansas Senate · 2025-2026 Regular Session

Enacting the Kansas consumer prescription protection and accountability act and providing for regulation and registration of pharmacy benefits managers.

SB 20 reduces the size of certain insurance-related boards and decreases the meeting frequency of the committee on surety bonds and insurance. Specifically, it amends Kansas law to shrink the governing board for automobile insurance plans from nine to five members, requiring three insurer representatives, one independent agent, and one public member serving three-year terms starting January 1, 2026. The bill also mandates that the commissioner consider fair representation of foreign and domestic insurers when appointing board members. This affects the commissioner of insurance, appointed board members, and stakeholders including insurers, agents, and the public.
Bill status signed all 5 stages cleared
Introduction
Jan 2025
Committee Review
Mar 2026
Senate Passage
Feb 2025
House Passage
Mar 2026
Signed into Law
Apr 2026
Introduced Jan 16, 2025 Signed Apr 9, 2026
Maddy AI version diff · 2 comparisons

What changed between versions

As Amended by House Committee Enrolled · 7 edits · Apr 9, 2026
MODERATE
The bill was completely rewritten to replace a minor administrative update with a comprehensive new law regulating pharmacy benefits managers and auditing entities. The new version establishes strict rules for pharmacy audits, including mandatory notice periods, limits on the scope of reviews, and prohibitions on billing practices based on financial incentives. It also defines specific conditions under which penalties can be charged and ensures patient privacy is protected during the audit process.
Scope change
The bill's scope expanded significantly from a small amendment regarding board appointments to a full-scale regulatory framework governing the insurance industry, pharmacy audits, and pharmacy benefits managers.
REQUIREMENT

New requirements mandate that auditing entities provide at least 14 days' written notice before conducting a pharmacy audit, with specific exceptions for delays.

Auditing entities are prohibited from charging penalties or recouping funds until the pharmacy has exhausted all appeal options.

New restrictions prevent auditing entities from compensating employees based on the amount of money recouped during an audit.

The bill limits clinical audits to a maximum of 24 months of history and 250 prescriptions to prevent overly broad reviews.

Penalties and chargebacks are restricted to cases involving fraud, benefit design violations, or actual underpayments, excluding dispensing fees unless a misfill occurred.

The previous text regarding the appointment terms and composition of the state insurance board was entirely removed.

ENFORCEMENT

New confidentiality rules protect patient health information in audit reports and restrict the commissioner's ability to subpoena or publish these reports.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
21
Key actions
15
Committee
8
Apr 9, 2026
Signed into law
Approved by Governor on Thursday, April 9, 2026
upper
Mar 24, 2026
Upper · Passed
Conference Committee Report was adopted; Yea 32, Nay 8
upper
Mar 23, 2026
Lower · Passed
Conference Committee Report was adopted; Yea 104, Nay 17, Absent 4
lower
Mar 23, 2026
Lower · Passed
Motion to suspend rule 1502 adopted
lower
Mar 23, 2026
Lower · Passed
Conference committee report now available
lower
Mar 11, 2025
Lower · Passed
Motion to accede adopted; Rep. Bill Sutton, Rep. Brian Bergkamp and Rep. Cindy Neighbor appointed as conferees
lower
Mar 10, 2025
Upper · Passed
Nonconcurred with amendments; Conference Committee requested; appointed Sen. Brenda Dietrich, Sen. Michael Fagg and Sen. Marci Francisco
upper
Mar 7, 2025
Lower · Passed
Emergency Final Action - Passed as amended; Yea 100, Nay 21, Absent 4
lower
Mar 7, 2025
Lower · Passed
Motion to advance to Emergency Final Action adopted
lower
Mar 7, 2025
Lower · Passed
Committee of the Whole - Be passed as amended
lower
Mar 7, 2025
Lower · Passed
Committee of the Whole - Committee Report be adopted
lower
Feb 27, 2025
Lower · Passed
Committee Report recommending bill be passed as amended by House Committee on Insurance
lower
Feb 19, 2025
Committee
Referred to House Committee on Insurance
lower
Feb 19, 2025
Introduced
Received and Introduced
lower
Feb 19, 2025
Upper · Passed
Final Action - Passed; Yea 40, Nay 0
upper
Feb 18, 2025
Upper · Passed
Committee of the Whole - Be passed
upper
Feb 3, 2025
Upper · Passed
Committee Report recommending bill be passed by Senate Committee on Financial Institutions and Insurance
upper
Jan 17, 2025
Committee
Referred to Senate Committee on Financial Institutions and Insurance
upper
Jan 16, 2025
Introduced
Introduced
upper
0 primary · 0 co-sponsors

Sponsors

No sponsor information available.