Pennsylvania HB2431: An Act amending the act of November 21, 2016 (P.L.1318, No.169), known as the Pharmacy Audit Integrity and Transparency Act, in enforcements, further providing for scope of enforcement authority.

What the bill says

An act providing for pharmacy audit procedures, for registration of pharmacy benefits managers and auditing entities, for maximum allowable cost transparency, for prescription drugs reimbursed under the PACE and PACENET program and for pharmacy benefit managers contract requirements and prohibited activities; and making related repeals," in enforcements, further providing for scope of enforcement authority.

From the introduced text, April 21, 2026:

An act providing for pharmacy audit procedures, for registration of pharmacy benefits managers and auditing entities, for maximum allowable cost transparency, for prescription drugs reimbursed under the PACE and PACENET program and for pharmacy benefit managers contract requirements and prohibited activities; and making related repeals," in enforcements, further providing for scope of enforcement authority. The General Assembly of the Commonwealth of Pennsylvania hereby enacts as follows: Section 1. Section 901 of the act of November 21, 2016 (P.L.1318, No.169), known as the Pharmacy Audit Integrity and Transparency Act, is amended by adding a subsection to read: Section 901. Scope of enforcement authority. * * * (b.2) Medicaid pharmacy access.-- (1) A PBM shall accept and process Medicaid prescriptions from any pharmacy or pharmacist who is in good standing with the department and the State Board of Pharmacy. (2) A PBM may not restrict, limit or otherwise control the selection of pharmacies available to Medicaid patients based solely on the PBM's private contracting preferences. * * * Section 2. This act shall take effect in 60 days. 20260HB2431PN3236 - 2 -

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Sponsors

• Frank Burns (D, 72) · primary sponsor
• Patrick Harkins (D, 1)