SB478

Relative to strengthening prescription drug affordability and pharmacy benefits manager accountability.

Introduced·11/21/25
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SB478 aims to enhance prescription drug affordability and PBM accountability in New Hampshire.

SB478 seeks to strengthen prescription drug affordability and pharmacy benefits manager (PBM) accountability in New Hampshire. The bill mandates PBMs to offer an interest-free, monthly out-of-pocket smoothing option to enrollees. It requires PBMs to delink compensation from drug prices in state-administered plans, ensuring fair, competitive pharmacy networks without retroactive claim recoupments. The bill also prohibits PBMs from reimbursing 340B covered entities or their affiliates at a lower rate.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Current
In committee
Next
Committee decision

Sponsors

D
1
10
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Democratic CaucusRepublican Caucus

Calendar

Jan 21

1:45 PM

Health and Human Services Hearing

History

Mar 12

Senate

SB 478 was Removed from the Consent Calendar; 03/12/2026; Senate Journal 6

Mar 12

Senate

Sen. Rochefort Moved Laid on Table, Motion Adopted, Voice Vote; 03/12/2026; Senate Journal 6

Mar 12

Senate

Pending Motion Interim Study; 03/12/2026; Senate Journal 6