SB669Introduced in the Senate
Pharmacy benefits managers; requirements, application of law, report, delayed effective date.
Introduced by Aaron Rouse, District 22
What does this bill do?
Plain-English breakdown
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Official description
Pharmacy benefits managers; requirements; scope; report. Requires all health insurance carriers to use the pass-through pricing model and may limit a pharmacy benefits manager from deriving income from pharmacy benefits management services provided to a carrier except for income derived from a pharmacy benefits management fee. The bill prohibits a pharmacy benefits manager from (i) reversing and or resubmitting the claim of a pharmacist or pharmacy without meeting certain requirements, (ii) reducing any payment to a pharmacist or pharmacy to an effective rate of reimbursement, or (iii) retroactively denying or reducing a claim or aggregate of claims except under certain circumstances. The bill requires the State Corporation Commission (the Commission) to examine the practice of carriers or pharmacy benefits managers requiring or inducing covered individuals to utilize pharmacy services at an affiliated pharmacy. The Commission is required to report its findings and recommendations to the General Assembly by December 1, 2027. Certain provisions of the bill have a delayed effective date of July 1, 2027. This bill incorporates SB 410 and SB 413 and is identical to HB 830.
Where it stands
Acts of Assembly Chapter text (CHAP0036)
March 31, 2026
How did lawmakers vote?
House of Delegates votes
2 recorded votes · each counted separately
Senate votes
5 recorded votes · each counted separately
SenateStage: House substitute agreed to by Senate (38-Y 0-N 0-A) · February 27, 2026
38
Yes
0
No
2
Absent or Not Voting
40 senators recorded in this Senate vote. Colors show vote categories only, not whether a vote was good or bad.
See how each senator voted
| Senator | District | Vote |
|---|---|---|
| Elizabeth Bennett-Parker | 5 | Yes |
| Michael Jones | 77 | Yes |
| Timmy French | 1 | Yes |
| Mark Obenshain | 2 | Yes |
| Chris Head | 3 | Yes |
| David Suetterlein | 4 | Yes |
| Travis Hackworth | 5 | Yes |
| Todd Pillion | 6 | Yes |
| William Stanley | 7 | Yes |
| Mark Peake | 8 | Yes |
Bill history
Prefiled and ordered printed; Offered 01-14-2026 26105407D
Referred to Committee on Commerce and Labor
Senate committee offered
Senate committee offered
Incorporates SB410 (Peake)
Reported from Commerce and Labor with substitute and rereferred to Finance and Appropriations (15-Y 0-N)
Incorporates SB413 (Peake)
Committee substitute printed 26106220D-S1
Reported from Finance and Appropriations (15-Y 0-N)
Rules suspended
Constitutional reading dispensed Block Vote (on 1st reading) (40-Y 0-N 0-A)
Passed by for the day Block Vote (Voice Vote)
Read second time
Commerce and Labor Substitute agreed to
Engrossed by Senate - committee substitute Block Vote (Voice Vote)
Read third time and passed Senate (40-Y 0-N 0-A)
Fiscal Impact Statement from State Corporation Commission (SB669)
Placed on Calendar
Read first time
Referred to Committee on Labor and Commerce
Reported from Labor and Commerce with substitute (20-Y 0-N)
Committee substitute printed 26108250D-H1
Read second time
Moved from Uncontested Calendar to Regular Calendar
Passed by for the day
Floor substitute printed 26108552D-H2 (Callsen)
Floor offered Delegate Callsen Substitute
Read third time
committee substitute rejected
Delegate Callsen Floor substitute agreed to
Engrossed by House - floor substitute
Passed House with substitute (98-Y 0-N 0-A)
House substitute agreed to by Senate (38-Y 0-N 0-A)
Enrolled
Bill text as passed Senate and House (SB669ER)
Signed by Speaker
Signed by President
Enrolled Bill communicated to Governor on March 10, 2026
Governor's Action Deadline 11:59 p.m., April 13, 2026
Fiscal Impact Statement from State Corporation Commission (SB669)
Approved by Governor-Chapter 36 (Effective 7/1/2027)
Acts of Assembly Chapter text (CHAP0036)
Verify the information
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