New Hampshire legislation · 2026 Regular Session
New Hampshire SB478: relative to strengthening prescription drug affordability and pharmacy benefits manager accountability.
Status: In committee, March 12, 2026
What the bill says
An act relative to strengthening prescription drug affordability and pharmacy benefits manager accountability. Sen. Gannon, Dist 23; Sen. Rosenwald, Dist 13; Sen. Pearl, Dist 17; Sen. Birdsell, Dist 19; Sen. Innis, Dist 7; Rep. W. MacDonald, Rock. 16; Rep. Miles, Hills. 12; Rep. Potucek, Rock. 13; Rep. L. Walsh, Rock. 15; Rep. Cole, Hills. 26 COMMITTEE: Health and Human Services ───────────────────────────────────────────────────────────────── ANALYSIS This bill regulates prescription drug costs and increases transparency and accountability by banning spread pricing, adopting pass through pric.
From the introduced text, January 7, 2026:
AN ACT relative to strengthening prescription drug affordability and pharmacy benefits manager accountability. Sen. Gannon, Dist 23; Sen. Rosenwald, Dist 13; Sen. Pearl, Dist 17; Sen. Birdsell, Dist 19; Sen. Innis, Dist 7; Rep. W. MacDonald, Rock. 16; Rep. Miles, Hills. 12; Rep. Potucek, Rock. 13; Rep. L. Walsh, Rock. 15; Rep. Cole, Hills. 26 COMMITTEE: Health and Human Services ───────────────────────────────────────────────────────────────── ANALYSIS This bill regulates prescription drug costs and increases transparency and accountability by banning spread pricing, adopting pass through pricing, and ensuring all manufacturer rebates go toward lowering premiums or point-of sale costs. The bill also bans retroactive fees on clean claims, requires timely access to pricing lists, allows audits to prevent misuse, and prioritizes lowest net cost drugs. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Explanation: Matter added to current law appears in bold italics. Matter removed from current law appears [in brackets and struckthrough.] Matter which is either (a) …
Sponsors
- Tim McGough (R, 11) · primary sponsor