Rhode Island 2026 Regular Session

Rhode Island House Bill H7817

Introduced
2/26/26  

Caption

Prohibits pharmacy benefits managers from refusing to provide coverage for a prescription drug chosen for a patient by the patient’s healthcare provider.

Impact

The proposed legislation seeks to amend existing regulations under the Rhode Island General Laws concerning pharmacy practices. By stressing the need for PBMs to respect prescriber choices, the bill could increase access to necessary medications for patients. The implications for state laws include a potential shift in the authority and responsibility of PBMs, as they would be held accountable for any denial or delay related to a prescriber's choice of drug, which is classified as an unlawful interference with medical practice. This could create a more patient-centric approach within the pharmaceutical system in Rhode Island.

Summary

House Bill H7817 aims to enhance patient rights regarding prescription drug coverage by prohibiting pharmacy benefits managers (PBMs) from denying coverage for medications prescribed by healthcare providers. The bill mandates that PBMs must accept and honor the prescription drug selected by the prescriber for a patient, thereby aiming to ensure that decisions about patient treatment are guided by healthcare professionals rather than insurance cost-containment policies. This act addresses concerns about PBMs making arbitrary decisions that can negatively impact patient health outcomes.

Contention

While the bill is seen by supporters as a necessary step towards fair competition and practices in pharmacy, it may face opposition from PBMs and insurance companies concerned about increased costs and lack of control over formulary decisions. The dialogue surrounding H7817 may be influenced by arguments regarding the balance between cost management, patient rights, and the operational capacities of PBMs. Key stakeholders including healthcare providers, patients, and insurance representatives will likely continue to engage in discussions to address the effects this legislation could have on prescription medication access.

Companion Bills

No companion bills found.

Previously Filed As

RI S0221

Provides certain controls over prescription drug costs by imposing transparency, oversight and accountability requirements on commercial insurers and their pharmacy benefit managers.

RI H5429

Provides certain controls over prescription drug costs by imposing transparency, oversight and accountability requirements on commercial insurers and their pharmacy benefit managers.

RI H5254

Requires pharmacy benefit managers to reimburse pharmacist no less than national drug acquisition costs plus fee.

RI S0222

Requires pharmacy benefit managers to reimburse pharmacist no less than national drug acquisition costs plus fee.

RI S0165

Prohibits pharmacy benefit managers from conducting or participate in spread pricing within the state.

RI S0897

Requires health insurance providers to provide insurance coverage for pharmacists’ services.

RI H5627

Requires health insurance providers to provide insurance coverage for pharmacists’ services.

RI S0117

Sets controls on Medicaid prescription drug costs by imposing transparency and accountability requirements on managed care organizations (MCOs) and their pharmacy benefit managers (PBMs).

RI H5463

Sets controls on Medicaid prescription drug costs by imposing transparency and accountability requirements on managed care organizations (MCOs) and their pharmacy benefit managers (PBMs).

RI S0905

Prohibits dental insurers from refusing to honor directions to pay from insured, modifying benefits to be paid. Requires providers to accept payment by virtual credit card as unfair claims practices.

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