As Federal PBM Reform Remains in Limbo, States Move Forward
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Feb 27, 2025
Federal PBM reform legislation that was scuttled last year could still end up in the next federal spending bill. But one expert tells AIS Health that other congressional priorities may take precedence instead. In the meantime, a slew of states have introduced PBM reform bills of their own.
In December, PBM reform was on the cusp of passing in a year-end spending bill but was thwarted when then-President-elect Donald Trump expressed disdain toward the size of the 1,500-page bill and asked for a suspension of the debt ceiling until 2027. Ultimately, a pared-down version was passed that omitted PBM reform and the debt ceiling provision. The PBM reform included several transparency provisions, delinked PBM reimbursement from Medicare Part D drug prices and required 100% pass-through of rebates to employer group health plans.
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