H163

Pharmacy Benefits Manager Provisions

Chamber Passed·4/30/25

North Carolina H163 regulates pharmacy benefits managers, ensuring fair pricing and choice for consumers.

North Carolina H163 aims to regulate the use of spread pricing and concessions by pharmacy benefits managers, establish uniform standards for specialty pharmacy accreditation, clarify the right to a pharmacy of choice, and strengthen protections for pharmacies during audits. The bill prohibits pharmacy benefits managers from charging insurers prices for prescription drugs that differ from what they pay pharmacies. It mandates that all pharmacies in a health benefit plan's coverage area be eligible to participate under identical reimbursement terms.

Included in complete analysis

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

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Where it stands

Last
Passed the House · 106–9 · Apr 30, 2025
Current
Rules and Operations of the Senate Committee
Next
Senate floor vote

Sponsors

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3
32
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Democratic CaucusRepublican Caucus

Roll Call Votes

Second Reading

106 Yea

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9 Nay

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5 Absent

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Calendar

Apr 15, 2025

11:00 AM

Regulatory Reform Hearing

Apr 15, 2025

11:00 AM

Regulatory Reform Hearing

History

Apr 30, 2025

House

Regular Message Sent To Senate

Apr 30, 2025

Senate

Regular Message Received From House

Apr 30, 2025

Senate

Passed 1st Reading