relative to receipt of pharmaceutical rebates by insurers and pharmacy benefits managers.

This bill requires pharmacy benefit managers and health insurers in New Hampshire to report detailed information about pharmaceutical rebates they receive and how those funds are used. The legislation mandates that these entities submit annual reports breaking down the total value of rebates collected, the amounts distributed to insurers, and the specific reductions applied to patient costs such as deductibles and copayments. Additionally, insurers must provide actuarial certifications explaining how rebates are remitted to policyholders and detail the methods used to estimate rebate amounts for plan design purposes. These reporting requirements apply to private health plans but explicitly exclude Medicaid, the Ryan White HIV/AIDS Program, and self-funded plans like the state employee health benefit plan. The law takes effect on June 30, 2024, and repeals a previous provision that had sought to remove these rebate reporting rules.