Iowa House sends bill regulating pharmacy benefit managers to Gov. Kim Reynolds
- On May 12, 2025, the Iowa House sent Senate File 383, a bill regulating pharmacy benefit managers , to Governor Kim Reynolds to sign into law.
- The bill was introduced due to concerns that PBM practices, favoring mail-order and chains, have caused over 200 pharmacy closures statewide, including 31 in 2024.
- The legislation requires PBMs to reimburse pharmacies at average acquisition cost plus a $10.68 dispensing fee and restricts PBM strategies that financially incentivize prescriptions at certain pharmacies.
- Some lawmakers and business leaders warn the bill could increase private health insurance costs by $340 million, raising insured Iowans’ costs by about $169 annually, while supporters see it as vital for pharmacy survival.
- If signed, the bill aims to protect rural and independent pharmacies from unfair PBM practices and improve pricing transparency, though its impact on insurance premiums remains debated.
23 Articles
23 Articles


Prescription drug pricing bill heads to Iowa governor’s desk
The Iowa House approved a bill Monday that would place limits on pharmacy benefit managers, which function as intermediaries between insurance providers and drug manufacturers.
Iowa House sends pharmacy benefit manager reform plan to governor - Radio Iowa
The Iowa House has sent the governor a bill that supporters say offers rural pharmacies financial relief by reigning in pharmacy benefit managers. PBMs negotiate drug prices. The bill requires that small pharmacies be paid a dispensing fee and sets up restrictions on PBM strategies that steer patients to fill prescriptions at certain pharmacies. A […]

Iowa House sends bill regulating pharmacy benefit managers to Gov. Kim Reynolds
Iowa House lawmakers sent legislation to implement restrictions on pharmacy benefit managers to Gov. Kim Reynolds Monday, a bill supporters said will help keep rural pharmacies in business — but that opponents said could lead to higher insurance and drug…
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