An Act to enact pharmacy benefit manager duties

HD 2276 establishes new duties for pharmacy benefit managers (PBMs) to act transparently and in the best interest of patients, health insurance plans, and pharmacies. It requires PBMs to disclose conflicts of interest, explain fees clearly, and prevent "spread pricing" (charging more than the drug cost plus dispensing fee). The law prioritizes patient interests over other parties and mandates transparency in formulary design, billing, and pricing. This directly affects all PBMs working with health insurance plans in the state, including their fees, pricing practices, and interactions with patients and pharmacies.