New York 2025-2026 Regular Session

New York Senate Bill S09191

Introduced
2/12/26  

Caption

Provides limitations on overlapping control between insurance companies and pharmacy benefits managers and pharmacies; requires divestment of the interest in one or more insurance companies and pharmacy benefits managers.

Summary

This bill would add a new section to the General Obligations Law to restrict overlapping ownership and control among insurance companies, pharmacy benefit managers (PBMs), and pharmacies. It defines key terms such as “pharmacy benefit manager” and “indirect control,” and then makes it unlawful for any person or entity to directly or indirectly own, operate, control, or direct the operation of an insurance company, a PBM, and a pharmacy, or any combination of those businesses. The bill also requires divestment: any entity found to be in violation would have up to three years after the effective date to separate its interests. Enforcement would be vested in the Attorney General, who could bring a civil action and seek a $10,000 per day civil penalty, along with costs and reasonable attorneys’ fees. The act would take effect immediately.

Impact

If enacted, the bill would significantly alter New York law governing corporate relationships in the health insurance and prescription drug supply chain by prohibiting common ownership or control across insurers, PBMs, and pharmacies. It would create a new statutory restriction in the General Obligations Law and could force existing vertically integrated health care companies to restructure or divest holdings within three years. The Attorney General would gain explicit enforcement authority and penalty tools to police violations.

Sentiment

There is no recorded committee transcript or vote history available for this bill, so no direct legislative debate or formal sentiment can be measured from the provided materials. Based on the bill text and caption, the measure appears aimed at addressing concerns about market concentration and conflicts of interest in the pharmacy and insurance sectors, suggesting a consumer-protection and anti-consolidation rationale. However, without discussion or votes, support or opposition cannot be reliably characterized.

Contention

The main point of contention is likely to be whether prohibiting overlapping ownership among insurers, PBMs, and pharmacies is an appropriate way to address drug-pricing and access concerns. Supporters would likely argue that vertical integration creates conflicts of interest and can distort prescription drug costs and access, while opponents may contend that the bill is overly broad, could disrupt existing business models, and may reduce efficiencies or coordination in health care delivery. The divestment mandate and substantial daily penalties would also likely be contested by affected companies and industry groups.

Companion Bills

NY A09184

Same As Provides limitations on overlapping control between insurance companies and pharmacy benefits managers and pharmacies; requires divestment of the interest in one or more insurance companies and pharmacy benefits managers.

Previously Filed As

NY A09184

Provides limitations on overlapping control between insurance companies and pharmacy benefits managers and pharmacies; requires divestment of the interest in one or more insurance companies and pharmacy benefits managers.

NY SB1236

Relating to the relationship between pharmacists or pharmacies and health benefit plan issuers or pharmacy benefit managers.

NY HB3317

Relating to the relationship between pharmacists or pharmacies and health benefit plan issuers or pharmacy benefit managers.

NY LD180

An Act Regarding Reimbursements by Health Insurance Carriers or Pharmacy Benefits Managers to Pharmacies

NY S09222

Prohibits the ownership, operation or control of pharmacies directly or indirectly by pharmacy benefit managers.

NY HB5457

Relating to the relationship between a pharmacy benefit manager and a pharmacist or pharmacy.

NY SB2040

AN ACT to amend Tennessee Code Annotated, Title 63, relative to the ownership or control of pharmacies by pharmacy benefits managers.

NY HB1959

AN ACT to amend Tennessee Code Annotated, Title 63, relative to the ownership or control of pharmacies by pharmacy benefits managers.

NY SB99

Drug Insurance Benefits; impose more restrictions on pharmacy benefit managers

NY HB740

Revise laws relating to pharmacies, pharmacy benefit managers, and other entities

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.

AZ HB2429

Pharmacy benefits; pharmacy management networks