ColoradoPharmacy Benefit Manager Practices
What it does
Beginning January 1, 2027, the act:
More detail
Allows a pharmacy benefit manager (PBM) to earn income derived from the assessment of a flat-dollar service fee for the provision of a prescription drug; Prohibits a PBM from earning income based on the price or cost of a prescription drug; Prohibits a PBM from designing a formulary to favor a certain branded pharmaceutical or biologic; Requires a PBM to be reimbursed by a health benefit plan for lowering the plan's prescription drug spending over a given period of time and for the direct services the PBM provides to the plan; Sets the amount that a PBM shall reimburse an unaffiliated pharmacy or a PBM-affiliated retail, mail order, or specialty pharmacy for a prescription drug; and Requires a contract between a PBM and a health benefit plan to contain a provision where the PBM discloses prescription drug cost information to the health benefit plan and a provision authorizing the health benefit plan to execute an audit to validate compliance with the contract.(Note: This summary applies to this bill as enacted.)
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Where it stands
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2025
- May 30Governor Jared Polis SignedBecame Law
- May 13Signed by the Speaker of the House
- May 13Signed by the President of the Senate
- May 13Sent to the GovernorTo Governor
- May 7House Considered Senate Amendments - Result was to Concur - Repass
- Vote recorded REPASS. Result: pass.Lower
- Vote recorded CONCUR. Result: pass.Lower
- May 6Senate Third Reading Passed - No AmendmentsPassed Senate
- Vote recorded BILL. Result: pass.Upper
- May 6House Considered Senate Amendments - Result was to Laid Over Daily
- May 5Senate Third Reading Laid Over Daily - No Amendments
- May 2Senate Second Reading Special Order - Passed with Amendments - Committee
- Apr 30Senate Committee on Appropriations Refer Unamended to Senate Committee of the WholeMinor
- Apr 24Senate Committee on Health & Human Services Refer Amended to AppropriationsMinor
- Mar 20Introduced In Senate - Assigned to Health & Human ServicesMinor
- Mar 17House Third Reading Passed - No AmendmentsPassed House
- Vote recorded BILL. Result: pass.Lower
- Mar 14House Second Reading Special Order - Passed with Amendments - Committee, Floor
- Mar 11House Second Reading Laid Over Daily - No Amendments
- Mar 7House Committee on Appropriations Refer Unamended to House Committee of the WholeMinor
- Feb 19House Committee on Health & Human Services Refer Amended to AppropriationsMinor
- Jan 27Introduced In House - Assigned to Health & Human ServicesIntroduced