Minnesota 2025-2026 Regular Session

Minnesota Senate Bill SF4062

Introduced
3/2/26  

Caption

Prohibit the use of spread pricing by pharmacy benefit managers

Impact

If enacted, SF4062 would impose stricter regulatory measures on PBMs, including the obligation to operate with greater transparency regarding costs and pricing structures. The legislation mandates that pharmacists be reimbursed at rates that reflect actual acquisition costs, effectively limiting the financial margins PBMs can impose. Additionally, it would require PBMs to disclose any ownership interests and operational details that may present conflicts of interest. The overall goal of this bill is to ensure that consumers and healthcare providers have fair access to affordable medications.

Summary

SF4062 is a legislative proposal aimed at prohibiting spread pricing practices by pharmacy benefit managers (PBMs) in Minnesota. The bill seeks to amend several sections of the Minnesota Statutes relating to the operations of PBMs, particularly in how they manage costs associated with prescription medications. Spread pricing occurs when a PBM charges a health plan one price for a prescription drug while paying a different price to the pharmacy, thereby retaining the difference as profit. This practice has faced considerable scrutiny for contributing to higher costs for consumers and health plans alike.

Contention

Despite the clear intentions of the bill, there are notable points of contention surrounding its implementation. Supporters argue that it will lower costs for consumers and provide a fairer billing system for pharmacies. However, opponents may raise concerns about potential reductions in service availability or increases in administrative burdens for PBMs. Additionally, stakeholders in the pharmaceutical industry, including drug manufacturers and distributors, are likely to contribute perspectives on how such regulatory changes could affect drug pricing and availability in the marketplace.

Companion Bills

MN HF3931

Similar To Use of spread pricing by pharmacy benefit managers prohibited, license application fees increased, permissible sources of income limited, fiduciary duties imposed, and money appropriated.

Previously Filed As

MN HF3931

Use of spread pricing by pharmacy benefit managers prohibited, license application fees increased, permissible sources of income limited, fiduciary duties imposed, and money appropriated.

MN HF2851

Reverse auction procurement requirement for SEGIP pharmacy benefit contracts modified, use of spread pricing by pharmacy benefit managers prohibited, license application fees increased, fiduciary duties imposed, and money appropriated.

MN LD1580

An Act to Prohibit Carriers and Pharmacy Benefits Managers from Using Spread Pricing

MN A5020

Prohibits pharmacy benefit manager from using spread pricing as model of prescription drug pricing; requires transparency in provision of pharmacy benefits management services.

MN S4208

Prohibits pharmacy benefit manager from using spread pricing as model of prescription drug pricing; requires transparency in provision of pharmacy benefits management services.

MN SB665

(New Title) relative to pharmacy benefits managers, managed care laws, notice of drug pricing options and pharmacy benefit manager business practices.

MN SB2678

Pharmacy Benefit Prompt Pay Act; bring forward and prohibit spread pricing.

MN S0165

Prohibits pharmacy benefit managers from conducting or participate in spread pricing within the state.

MN HB1271

Health insurance; pharmacy benefits managers; requirements and prohibited conduct.

MN SB1359

Health carriers and pharmacy benefits managers; prohibited conduct, civil penalty.

Similar Bills

KS HB2551

Enacting the Kansas pharmacy services administrative organization act.

MS HB1125

Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.

MS HB558

Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.

AR SB593

To Amend The Arkansas Pharmacy Benefits Manager Licensure Act; And To Create The Pharmacy Services Administrative Organization Act.

NJ S2345

"Patient and Provider Protection Act."

AR SB475

To Establish The Pharmacy Services Administrative Organization Act; And To Regulate Pharmacy Services Administrative Organizations.

MS HB1119

Pharmacy benefit managers; revise provisions related to.

MS SB2677

Pharmacy Benefit Prompt Pay Act; define requirements for pharmacy benefit managers and pharmacy services administrative organizations.