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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Bungled Effort
Bungled Effort Only state regulators could complicate an effort to simplify the regulation of surplus lines.
The New Fiduciaries
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.
Slippery States
Slippery States As businesses increasingly integrate artificial intelligence into operations, inconsistent state rules pose risk and compliance challenges.