Missouri 2026 Regular Session

Missouri House Bill HB1975

Introduced
1/7/26  
Refer
1/22/26  

Caption

Modifies provisions relating to pharmacy benefits managers

Impact

A significant aspect of HB 1975 is its emphasis on patient choice and pharmacist autonomy. The bill reaffirms the right of patients to select their pharmacy without undue restrictions imposed by PBMs. By mandating that PBMs maintain competitive pricing and transparency in their cost structures, the legislation aims to ensure that pharmacies are fairly compensated for their services, thus potentially reducing patient costs and facilitating easier access to medications. This could lead to a more competitive market where pharmacies strive to provide better services and pricing to consumers.

Summary

House Bill 1975 aims to modify the regulations surrounding pharmacy benefits managers (PBMs) in Missouri, specifically repealing existing provisions that previously governed their operations. The bill establishes new sections which delineate the responsibilities and limitations imposed on PBMs, particularly in terms of how they set pricing for prescription drugs, manage reimbursement rates, and handle disputes with pharmacies. By reformulating the existing landscape of PBM regulation, the bill seeks to enhance transparency and fairness in drug pricing and distribution for providers and patients alike.

Contention

The implications of the bill, however, have sparked debate among stakeholders. Proponents argue that the new regulations will protect patients and local pharmacies from the monopolistic practices of large PBMs, potentially leading to lower drug prices. Critics, on the other hand, may express concerns about how such regulations could affect PBM operations, possibly pushing some smaller PBMs out of business due to increased operational requirements. Additionally, there is anxiety regarding how these changes might impact negotiation dynamics between PBMs and drug manufacturers, which could inadvertently lead to drug shortages or disruptions in pharmacy services.

Companion Bills

No companion bills found.

Previously Filed As

MO SB45

Enacts provisions relating to payments for prescription drugs

MO SB512

Enacts provisions relating to payments for prescription drugs

MO SB372

Enacts provisions relating to payments for prescription drugs

MO SB13

Enacts provisions relating to insurance coverage of pharmacy services

MO SB519

Modifies provisions relating to the amount of prescriptions dispensed by pharmacists during emergency periods

MO HB982

Creates provisions relating to payments for prescription drugs

MO SB292

Modifies provisions relating to health care providers

MO SB548

Modifies provisions relating to health care

MO SB317

Modifies provisions relating to health care

MO HB1195

Modifies provisions relating to access to medical products

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