Last updated: May 2026
A state-by-state summary of pending and enacted PBM legislation covering reimbursement practices, rebates, transparency requirements, 340B protections, fiduciary duties, and pharmacy benefit reform initiatives.
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State Legislative Tracker – PBMs
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States Laser In on PBMs
After Rutledge, how far is too far?
The New Fiduciaries
States are testing the waters on adding health insurance roles to their list of fiduciaries, including producers and employee benefits consultants. This approach has several problems.
Bungled Effort
Only state regulators could complicate an effort to simplify the regulation of surplus lines.