An Act to ensure access to prescription medications

HD 2359 requires pharmacy benefits managers (PBMs) and health insurers to set maximum allowable costs for prescription drugs based on FDA ratings and the availability of equivalent drugs, ensuring these costs cover pharmacies' actual acquisition costs. The bill mandates transparency by requiring PBMs to share cost calculation details, updated cost lists (every 3 business days), and a clear appeals process for pharmacies to contest low reimbursement rates within 7 days. It prohibits retroactive discounts and ensures non-affiliated pharmacies receive equal reimbursement rates as affiliated ones. This law directly affects PBMs and insurers, aiming to improve pharmacy reimbursement and access to medications.