Pharmacy benefits managers; requirements, application of law, report, delayed effective date.
It became law on Apr 13, 2026.
- Stage
- Became law
- Started in
- House
- Sponsors
- 31
- Latest action
- Apr 13, 2026
What it does
Pharmacy benefits managers; requirements; scope; report. Requires all health insurance carriers to use the pass-through pricing model and may limit a pharmacy benefits manager from deriving income from pharmacy benefits management services provided to a carrier except for income derived from a pharmacy benefits management fee. The bill prohibits a pharmacy benefits manager from (i) reversing and or resubmitting the claim of a pharmacist or pharmacy without meeting certain requirements, (ii) reducing any payment to a pharmacist or pharmacy to an effective rate of reimbursement, or (iii) retroactively denying or reducing a claim or aggregate of claims except under certain circumstances. The…
Where it stands
This bill passed and is now law.
Introduced (Done)
Committee (Done)
Floor (Done)
Law (Done)
What moved
Who is involved
Sponsors
The lawmakers who put their names on it, lead sponsors first.
- Katrina Callsen
- Adele McClure
- Amy Laufer
- Bonita Anthony
- Charlie Schmidt
Where it goes next
Once a bill is decided, the questions are about what is done with it in Virginia.