HB 25-1094 CO

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Became Law

Beginning January 1, 2027, the act: Allows a pharmacy benefit manager (PBM) to earn income derived from the assessment of a flat-dollar service fee for the provision of a prescription drug; Prohibits a PBM from earning income based on the price or cost of a prescription drug; Prohibits a PBM from designing a formulary to favor a certain branded pharmaceutical or biologic; Requires a PBM to be reimbursed by a health benefit plan for lowering the plan's prescription drug spending over a given period of time and for the direct services the PBM provides to the plan; Sets the amount that a PBM shall reimburse an unaffiliated pharmacy or a PBM-affiliated retail, mail order, or specialty pharmacy for a prescription drug; and Requires a contract between a PBM and a health benefit plan to contain a provision where the PBM discloses prescription drug cost information to the health benefit plan and a provision authorizing the health benefit plan to execute an audit to validate compliance with the contract.(Note: This summary applies to this bill as enacted.)

• Kyle Brown Democratic · primary
• Dusty Johnson Republican · primary
• Byron Pelton Republican · primary
• Dylan Roberts Democratic · primary

1. May 30, 2025 Governor Signed · executive
2. May 13, 2025 Sent to the Governor · executive
3. May 13, 2025 Signed by the President of the Senate · upper
4. May 13, 2025 Signed by the Speaker of the House · lower
5. May 7, 2025 House Considered Senate Amendments - Result was to Concur - Repass · lower
6. May 6, 2025 House Considered Senate Amendments - Result was to Laid Over Daily · lower
7. May 6, 2025 Senate Third Reading Passed - No Amendments · upper
8. May 5, 2025 Senate Third Reading Laid Over Daily - No Amendments · upper
9. May 2, 2025 Senate Second Reading Special Order - Passed with Amendments - Committee · upper
10. Apr 30, 2025 Senate Committee on Appropriations Refer Unamended to Senate Committee of the Whole · upper
11. Apr 24, 2025 Senate Committee on Health & Human Services Refer Amended to Appropriations · upper
12. Mar 20, 2025 Introduced In Senate - Assigned to Health & Human Services · upper
13. Mar 17, 2025 House Third Reading Passed - No Amendments · lower
14. Mar 14, 2025 House Second Reading Special Order - Passed with Amendments - Committee, Floor · lower
15. Mar 11, 2025 House Second Reading Laid Over Daily - No Amendments · lower
16. Mar 7, 2025 House Committee on Appropriations Refer Unamended to House Committee of the Whole · lower
17. Feb 19, 2025 House Committee on Health & Human Services Refer Amended to Appropriations · lower
18. Jan 27, 2025 Introduced In House - Assigned to Health & Human Services · lower