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Pennsylvania House Advances Bill to Regulate Pharmacy Benefit Managers

The Pennsylvania state House has approved a bill aimed at regulating pharmacy benefit managers (PBMs) to ensure fair competition and address prescription pricing pressures affecting independent pharmacies. The bill, sponsored by Rep. Jessica Benham, seeks to counteract the dominance of major PBMs—Caremark, Express Scripts, and Optum—which control over 90% of U.S. prescription volume. These companies benefit from vertical integration, profiting at multiple stages of patient care.

Key provisions of the bill include mandatory reporting by PBMs on rebates and payments received from drug manufacturers and how these funds are distributed. It also prohibits practices like patient steering, spread pricing, and the retroactive reclaiming of payments made to pharmacies. These practices have led to significant pharmacy closures, particularly impacting vulnerable communities and contributing to “pharmacy deserts” across the state.

The bill has now been forwarded to the Senate, where it has received bipartisan support.


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Vincel was a modest man who enjoyed music, playing guitar, watching westerns, football, and being in the great outdoors.

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