South Carolina 2025-2026 Regular Session

South Carolina House Bill H4790

Introduced
1/13/26  

Caption

A BILL TO AMEND THE SOUTH CAROLINA CODE OF LAWS BY AMENDING SECTION 38-71-2240, RELATING TO THE PLACEMENT OF DRUGS ON MAXIMUM ALLOWABLE COST LISTS, SO AS TO PROVIDE PHARMACY BENEFITS MANAGERS SHALL PROVIDE UNOBSTRUCTED ACCESS TO THEIR MAXIMUM ALLOWABLE COST LISTS TO PATIENTS, CONSUMERS, NETWORK PHARMACY PROVIDERS, AND EACH PHARMACY SUBJECT TO THE MAXIMUM ALLOWABLE COST LIST.

Impact

The enactment of H4790 will significantly influence the way PBMs operate within South Carolina, particularly by promoting a more transparent environment regarding drug pricing. Patients and pharmacies will benefit from clearer communication regarding their costs, which could reduce instances of confusion or disputes between pharmacies and PBMs. This increase in accessibility is expected to lead to a more competitive pricing landscape in the pharmacy sector.

Summary

House Bill H4790 aims to amend Section 38-71-2240 of the South Carolina Code of Laws by requiring that pharmacy benefits managers (PBMs) provide unobstructed access to their maximum allowable cost lists. This is intended to enhance transparency in drug pricing and ensure that patients, consumers, and network pharmacy providers have readily available information regarding drug costs. The bill mandates that basis for maximum allowable costs be updated at least once every seven days, providing a mechanism for pharmacies and patients to understand pricing dynamics better.

Contention

While many advocate for H4790 as a necessary step towards greater transparency in healthcare, there may be contention surrounding its practical implementation. Critics could argue that the mandates placed on PBMs may lead to operational adjustments that are difficult to execute swiftly, potentially disrupting services. Furthermore, there could be concerns from PBMs about how these changes affect their business models and profitability, leading to debates about patient care versus business interests within the pharmacy sector.

Companion Bills

No companion bills found.

Previously Filed As

SC SB583

To Amend The Law Concerning Maximum Allowable Cost Lists Relating To Pharmacy Services.

SC H1202

Establishing a commission to study maximum allowable costs lists

SC H4791

Drug acquisition cost surveys and reimbursement guidelines

SC H4794

Pharmacy Benefits Managers - Trade Practices

SC H3575

Pharmacy insurance benefits cost-sharing

SC H4795

Pharmacy Benefits Manager drug modifications

SC HB740

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

SC HB2196

pharmacists; pharmacies; reimbursement costs; appeals

SC HB2208

Pharmacists; pharmacies; reimbursement costs; appeals

SC SB1236

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

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.