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flag Missouri lawmakers propose 2026 bills to regulate PBMs, aiming to lower drug costs and protect pharmacies.

flag Missouri lawmakers have introduced bills for the 2026 session to regulate pharmacy benefit managers (PBMs), aiming to lower drug costs and protect local pharmacies. flag The legislation, sponsored by Sen. Jill Carter and Rep. John Hewkin, would mandate claims transparency, prohibit copays exceeding drug costs, ensure fair pharmacy reimbursements, and create a fund for critical access pharmacies. flag Supporters cite rising costs, patient access issues, and pharmacy closures, especially in rural areas, while industry groups warn regulations could reduce access for vulnerable populations. flag The bills follow similar reforms in other states and recent lawsuits against PBMs over alleged price manipulation. flag A related federal bill, the PBM FAIR Act, seeks to impose fiduciary duties on PBMs and improve transparency under ERISA.

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