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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.
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Cherokee Tribune Ledger NewsCherokee Tribune Ledger News
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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…

·Cherokee County, United States
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WHO-DT broke the news in on Monday, May 12, 2025.
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