Rhode Island 2026 Regular Session

Rhode Island House Bill H7814

Introduced
2/26/26  

Caption

RELATING TO FOOD AND DRUGS -- PRESCRIPTION BENEFIT MANAGER, ACCOUNTABILITY ACT

Impact

The legislation is designed to directly impact the interactions between healthcare providers, patients, and PBMs, fostering greater transparency and accountability in medication management. By requiring that any denial of coverage for a prescribed medication undergo a review by a licensed healthcare professional, this bill aims to protect patients from arbitrary decisions made by PBMs that may not be rooted in medical expertise. Its introduction reflects a growing recognition of the challenges patients face in accessing necessary medications.

Summary

House Bill H7814, known as the Prescription Benefit Manager Accountability Act, seeks to enhance accountability for prescription benefit managers (PBMs) in Rhode Island. The bill mandates that PBMs must approve specific medications prescribed by healthcare practitioners if supported by a notarized letter that outlines the medical necessity of the prescription. This initiative aims to streamline the process for patients needing specific medications, aiming to eliminate unnecessary denial or substitution of prescribed drugs.

Contention

Despite its positive intentions, the bill may face opposition from some industry stakeholders who could argue that it imposes excessive regulations on PBMs, potentially leading to increased costs for healthcare providers and insurers. Critics might express concerns over how these requirements could affect the efficiency of medication approval processes. As debates unfold, the balance between ensuring patient access to medically necessary prescriptions and maintaining operational efficiency in healthcare administration will be a critical point of contention.

Companion Bills

No companion bills found.

Previously Filed As

RI S0117

Sets controls on Medicaid prescription drug costs by imposing transparency and accountability requirements on managed care organizations (MCOs) and their pharmacy benefit managers (PBMs).

RI H5463

Sets controls on Medicaid prescription drug costs by imposing transparency and accountability requirements on managed care organizations (MCOs) and their pharmacy benefit managers (PBMs).

RI S0221

Provides certain controls over prescription drug costs by imposing transparency, oversight and accountability requirements on commercial insurers and their pharmacy benefit managers.

RI H5429

Provides certain controls over prescription drug costs by imposing transparency, oversight and accountability requirements on commercial insurers and their pharmacy benefit managers.

RI H5620

Regulates price increases for prescription drugs.

RI S0271

Prohibits health benefit plans reviewing prescriptions for opioid addiction treatment.

RI H5024

Prohibits health benefit plans reviewing prescriptions for opioid addiction treatment.

RI H5254

Requires pharmacy benefit managers to reimburse pharmacist no less than national drug acquisition costs plus fee.

RI S0222

Requires pharmacy benefit managers to reimburse pharmacist no less than national drug acquisition costs plus fee.

RI S0467

Establishes the Wholesale Prescription Drug Importation Program for the importation of wholesale prescription drugs from Canada, to provide savings to Rhode Island consumers.

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