An Act to enact the pharmacy benefit manager compensation reform

This bill prohibits pharmacy benefit managers (PBMs) from charging fees tied to drug prices, rebates, or patient costs. It bans "spread pricing" (where PBMs pocket the difference between what they pay pharmacies and what they charge insurers) and requires PBMs to charge only a fixed fee for services. The law directly affects PBMs, health insurers (carriers), and unaffiliated pharmacies, ensuring PBMs operate transparently with fees based solely on services provided. PBMs must annually certify compliance with these rules to the state insurance commissioner.