Revision: March 12, 2026, 11:09 a.m.
Sen. Rosenwald, Dist 13
Sen. Rochefort, Dist 1
March 10, 2026
2026-1129s
07/05
Floor Amendment to SB 665-FN
Amend the title of the bill by replacing it with the following:
AN ACT relative to pharmacy benefits managers, managed care laws, and pharmacy benefit manager business practices.
Amend the bill by replacing all after section 12 with the following:
13 New Section; Pharmacy Benefit Manager Business Practices. Amend RSA 402-N by inserting after section 4-a the following new section:
402-N:4-b Pharmacy Benefit Manager Business Practices. A health carrier or pharmacy benefit manager shall be prohibited from penalizing, requiring, or providing financial incentives, including variations in premiums, deductibles, copayments, or coinsurance, to covered persons as incentives to use specific retail, mail order pharmacy, or another network pharmacy provider that is an affiliate of the pharmacy benefit manager.
14 Effective Date. This act shall take effect January 1, 2027.
2026-1129s
AMENDED ANALYSIS
This bill:
I. Requires written agreement to be formed between pharmacy benefits managers and health carriers before benefits managers can operate.
II. Amends pharmacy benefits manager reporting and examination requirements.
III. Raises the value of the maximum administrative fine that can be levied for violations of the state's pharmacy benefits manger laws.
IV. Prohibiting health carriers or pharmacy benefit managers from penalizing, requiring, or providing financial incentives to covered persons as incentives to use specific retail, mail order pharmacy, or another network pharmacy provider that is an affiliate of the pharmacy benefit manager.