Rhode Island 2026 Regular Session

Rhode Island Senate Bill S2466

Introduced
2/6/26  

Caption

Provides for fair pharmacy reimbursement from a pharmacy benefit manager, and also provides anti-discrimination prohibitions in regard to non-affiliated pharmacies or pharmacists.

Impact

If enacted, S2466 would significantly influence existing state insurance laws, particularly in how pharmacy benefit managers operate and interact with both affiliated and non-affiliated pharmacies. The bill mandates transparency in reimbursement practices and requires pharmacy benefit managers to provide necessary data to ensure compliance. This move is expected to empower non-affiliated pharmacists and ensure they can compete more effectively in the market, ultimately benefiting consumers through increased choices and potentially lower costs.

Summary

Bill S2466, introduced in the Rhode Island General Assembly, establishes provisions for fair pharmacy reimbursement practices. The bill specifically aims to prevent pharmacy benefit managers from reimbursing non-affiliated pharmacies at lower rates than affiliated ones. By promoting reimbursement parity, S2466 seeks to ensure that all pharmacies receive equal compensation for the same drugs or services, thus fostering a fairer competitive landscape within the pharmacy sector. The legislation is a response to longstanding concerns that non-affiliated pharmacies are often financially disadvantaged in comparison to their affiliated counterparts.

Contention

Notably, S2466 has become a focal point for debate regarding the balance of power between large pharmacy benefit managers and smaller, independent pharmacies. Supporters of the bill argue that it is essential for fairness and competition, enabling independent pharmacies to thrive. However, some stakeholders in the pharmacy industry have raised concerns about the potential for increased costs in the insurance system, as pharmacy benefit managers may pass on expenses associated with compliance to consumers. Consequently, the bill's stakeholders are closely monitoring its implications on both pharmacy operations and healthcare costs in Rhode Island.

Companion Bills

No companion bills found.

Previously Filed As

RI S0222

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

RI H5254

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

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 S0482

Amends the types of products which pharmacists may prescribe as substitute drugs or products to include "devices and supplies" and "therapeutically equivalent drugs and pharmaceuticals".

RI H5855

Amends the types of products which pharmacists may prescribe as substitute drugs or products to include "devices and supplies" and "therapeutically equivalent drugs and pharmaceuticals."

RI S0165

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

RI S0483

Authorizes pharmacists to dispense a one-time refill, for up to one hundred days under certain specified conditions.

RI H5852

Expands the existing law regarding collaborative practice agreements between pharmacists and physicians to allow other healthcare providers to enter into such agreements and removes the definition of “collaborative practice committee.”

RI S0221

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

Similar Bills

AZ HB2196

Pharmacists; pharmacies; reimbursement costs; appeals

AZ HB2208

Pharmacists; pharmacies; reimbursement costs; appeals

TX HB2978

Relating to the minimum reimbursement amount for prescription drugs and devices to health benefit plan network pharmacists and pharmacies.

TX SB1354

Relating to the minimum reimbursement amount for prescription drugs and devices to health benefit plan network pharmacists and pharmacies.

HI HB2225

Relating To Health.

IA SF383

A bill for an act relating to pharmacy benefits managers, pharmacies, prescription drugs, and pharmacy services administrative organizations, and including applicability provisions. (Formerly SSB 1074.) Effective date: 07/01/2025. Applicability date: 07/01/2025.

IA HSB99

A bill for an act relating to pharmacy benefits managers, pharmacies, and prescription drugs and including applicability provisions.(See HF 852.)

IA SSB1074

A bill for an act relating to pharmacy benefits managers, pharmacies, and prescription drugs and including applicability provisions.(See SF 383.)