New Hampshire 2026 Regular Session

New Hampshire Senate Bill SB665

Introduced
2/4/26  
Refer
2/4/26  
Report Pass
3/5/26  
Report Pass
3/12/26  
Engrossed
3/27/26  
Refer
3/27/26  
Report DNP
5/1/26  

Caption

Relative to pharmacy benefits managers, managed care laws, notice of drug pricing optionsand pharmacy benefit manager business practices.

Impact

The bill amends existing laws related to the operations of pharmacy benefits managers, raising administrative fines for violations and enforcing stricter reporting requirements. Additionally, pharmacies are required to notify consumers about their rights to request the lowest available prices for their medications, thereby empowering them with information that can lead to cost savings. This aspect of the bill intends to create a more consumer-friendly environment within the healthcare system.

Summary

SB665 aims to enhance consumer protection in the pharmaceutical industry by implementing regulations on pharmacy benefits managers (PBMs) and improving transparency in drug pricing. The bill mandates that PBMs form written agreements with health carriers to ensure accountability. This suggests a move toward more structured relationships between these parties, with an emphasis on lawful conduct in managing prescription drug benefits.

Contention

While the supportive arguments highlight the importance of consumer rights and transparency, opponents may argue that these regulations could lead to increased operational burdens on both pharmacies and PBMs. As more stringent laws are placed on these entities, there is a concern that it could affect pricing structures and potentially limit the flexibility of PBMs in negotiating drug prices with manufacturers.

Enforcement

In enforcing these new standards, the bill allows for increased scrutiny of PBMs and requires them to provide clearer information regarding drug pricing and rebates. This could significantly affect how consumers engage with pharmacies and how these entities navigate the complex landscape of drug pricing and coverage. If passed, this legislation is set to take effect from January 1, 2027, marking a significant shift in how pharmacy benefits are managed in New Hampshire.

Companion Bills

No companion bills found.

Previously Filed As

NH SB250

Relative to pharmacist administration of long-acting injectable drugs.

NH SB247

Prohibiting network exclusion for pharmacies that refuse to dispense a prescription of the PBM reimbursement that is below the pharmacy's acquisition cost.

NH HB661

Relative to the department of health and human services management of social security payments, supplemental security income payments, and veterans benefits for children in foster care.

NH HB619

Making an appropriation to the solid waste management fund.

NH HB373

Relative to the management and regulation of town real property.

NH SB143

Relative to the impaired driver care management program and recovery residences.

NH SB65

Relative to stormwater management for solar arrays.

NH HB566

Requiring permit applications for new landfills to contain a detailed plan for leachate management.

NH SB297

Relative to pooled risk management programs.

NH SB209

Relative to owner's project managers for projects funded by school building aid and relative to reporting requirements for persons or entities financing lawsuits.

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