State Legislative Tracker – Standards of Care – July 2026

Last updated: July 2026

A state-by-state tracker of fiduciary duty and standards-of-care legislation affecting PBMs, TPAs, insurance producers, brokers, and consultants.

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January 15, 2025

States not Slowing This Year

While Congress struggles to pass meaningful policy on insurance, state legislatures are racing ahead on issues including PBM reform, disaster readiness, and AI oversight.