Over the past five years, state legislatures have progressively turned their focus towards the role of pharmacy benefit managers (PBMs) in the context of health care benefits. Instituting a significant expansion of PBM regulation, this development has set a precedent that is attracting global attention.
Initially, legislation focused predominantly on the PBM services offered to health insurers and Medicaid clients. However, in recent years these legislative efforts have become more prominent and have made significant impacts on self-insured group health plans.
A primary catalyst triggering this shift in regulatory policy has been the Supreme Court’s 2020 Rutledge decision. Since then, we have witnessed a surge of new laws imposing regulation on PBMs in all aspects of their operation.
More details on this trend and the laws, penned by the Groom Law Group, Chartered, can be found on JD Supra’s website. Careful observation of these ongoing changes will be critical for legal professionals in major corporations and law firms.