Louisiana 2026 Regular Session

Louisiana Senate Bill SB377

Introduced
2/27/26  
Refer
2/27/26  

Caption

Provides relative to pharmacy benefit managers. (gov sig) (OR +$2,265,844 SG EX See Note)

Impact

The impact of SB377 on state law could be significant, as it introduces a framework for the oversight of PBMs, thereby modifying the current landscape of health insurance and pharmaceutical pricing. By mandating annual audits of PBMs and requiring them to report specific financial details, the bill enhances regulatory scrutiny, which proponents argue will curb unjustified costs in prescription drug pricing. Supporters believe this could lead to decreased drug costs for consumers and improved accountability in the management of pharmacy benefits.

Summary

Senate Bill 377 (SB377) seeks to establish regulations surrounding pharmacy benefit managers (PBMs) in Louisiana. The bill explicitly states that a PBM may negotiate but not retain rebates and fees, ensuring that its income derives solely from management fees for services provided to health insurers or plans. This regulation aims to enhance the transparency of PBM compensation and operations, potentially impacting the pricing of prescription drugs while striving to protect both insurers and consumers within the state.

Sentiment

The sentiment around SB377 appears to be cautiously optimistic among proponents, who view the bill as a necessary reform within the heavily scrutinized pharmacy benefit space. Advocates argue that increased regulation of PBMs is crucial for consumer protection and fiscal transparency. However, concerns linger regarding potential pushback from PBMs and their financial implications on insurers. Opponents may fear that strict regulations could lead to reduced PBM competition or innovation in managing pharmacy benefits.

Contention

A notable contention surrounding SB377 relates to the balance between regulation and operational independence for PBMs. While the bill aims to enhance accountability, there are fears that it may inadvertently restrict the practical ability of PBMs to negotiate effectively on behalf of insurers. Stakeholders argue there's a need to carefully evaluate how this regulation could affect the overall healthcare delivery system and the costs associated therein, leading to an ongoing debate about the effectiveness and necessity of such stringent oversight.

Companion Bills

No companion bills found.

Previously Filed As

LA SB194

Provides relative to pharmacy benefit managers. (gov sig)

LA HB264

Provides for transparency and compensation practices relative to pharmacy benefit managers (EN +$90,000 SG EX See Note)

LA SB173

Provides for reimbursement rates paid by Pharmacy Benefit Managers. (8/1/25) (OR NO IMPACT SG EX See Note)

LA HR329

Urges the attorney general and the Louisiana Department of Insurance to investigate pharmacy benefit managers (PBMs) for potential violations of law and to urge and request the legislature to pass legislation prohibiting PBMs from owning or having a financial interest in pharmacies in this state

LA HCR73

Memorializes the United States Congress to take action relative to the use of pharmacy benefit managers and their impact on the citizens of this state

LA SB110

Provides relative to employee benefit plans preempted by the Employee Retirement Income Security Act of 1974. (gov sig)

LA SB102

Provides relative to obstetric care. (gov sig) (OR INCREASE GF EX See Note)

LA SB130

Provides relative to Medicaid. (gov sig) (EN DECREASE GF EX See Note)

LA SR209

Requests the Louisiana Department of Health to study the impacts of a prohibition on PBM ownership of pharmacies.

LA SB174

Provides relative to certain pregnancy screenings. (gov sig) (EN INCREASE GF EX See Note)

Similar Bills

KS HB2551

Enacting the Kansas pharmacy services administrative organization act.

AR SB593

To Amend The Arkansas Pharmacy Benefits Manager Licensure Act; And To Create The Pharmacy Services Administrative Organization Act.

MS HB558

Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.

MS HB1125

Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.

NJ S2345

"Patient and Provider Protection Act."

AR SB475

To Establish The Pharmacy Services Administrative Organization Act; And To Regulate Pharmacy Services Administrative Organizations.

AZ HB2429

Pharmacy benefits; pharmacy management networks

AZ HB2813

Pharmacy benefits; workers' compensation