Fabio
114 lines
9.3 KiB
Markdown
114 lines
9.3 KiB
Markdown
---
|
||
type: "Bill"
|
||
title: "Pharmacy benefits."
|
||
description: "Requires an insurer, a pharmacy benefit manager, or any other administrator of pharmacy benefits to ensure that a network utilized by the insurer, pharmacy benefit manager, or other administrator is reasonably adequate and accessible and file an annual report regarding the network with the commissioner of the department of insurance (commissioner). Sets forth certain limitations and requirements with respect to the provision of pharmacy or pharmacist services under a health plan. Allows any insured, pharmacy, or pharmacist impacted by an alleged violation to file a complaint with the commissioner. Provides that the commissioner may order reimbursement to any person who has incurred a monetary loss as a result of a violation. Requires, if a pharmacy benefit manger is used with regard to a state employee health plan, the state personnel department to either create a pharmacy benefit manager or contract with an insurer, a pharmacy benefit manager, or other administrator. Prohibits a third party administrator from: (1) requiring, as a condition of a plan sponsor entering into a contract with the third party administrator, that the plan sponsor enter into a contract with a particular pharmacy benefit manager; or (2) charging a different fee for services provided by the third party administrator to a plan sponsor based on the plan sponsor's selection of a particular pharmacy benefit manager. Urges the legislative council to assign to the appropriate study committee the task of studying the topic of contracts for pharmacy benefit coverage under the Medicaid program and a state employee health plan."
|
||
jurisdiction: "us/states/in"
|
||
legislature: "Indiana General Assembly"
|
||
session: "2025"
|
||
identifier: "SB 140"
|
||
citation: "Indiana SB 140 (2025)"
|
||
classification: ["bill"]
|
||
subjects: ["AGENCIES; Department of Insurance (IDOI)", "GENERAL ASSEMBLY; Legislative Council", "HEALTH CARE FACILITIES; Hospitals", "HEALTH CARE FACILITIES; Pharmacies", "HEALTH CARE PROFESSIONALS; Licensing (Including Behavioral and Mental Health)", "HEALTH CARE PROFESSIONALS; Pharmacists", "HEALTH; Billing and Costs", "HEALTH; Medicaid", "HEALTH; Prescription Drugs and Medications", "INSURANCE; Health Insurance", "STATE GOVERNMENT; Employees"]
|
||
status: "enacted"
|
||
primary_sponsors: ["Andy Zay", "Ed Charbonneau", "Julie McGuire", "Tyler Johnson"]
|
||
version_count: 6
|
||
action_count: 41
|
||
vote_count: 4
|
||
first_action: "2025-01-08"
|
||
last_action: "2025-05-06"
|
||
source: "openstates"
|
||
source_identifier: "ocd-bill/d0337506-3bd0-47ae-80d8-903cde4f4a4f"
|
||
source_url: "https://api.iga.in.gov/2025/bills/sb0140"
|
||
source_hash: "0d30b1e7e39608e3a95a90e8f268e7ba595656ce9defb9ce814f992d518121e5"
|
||
vintage: "2026-07-01"
|
||
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
|
||
retrieved_at: "2026-07-06"
|
||
confidence: "reported"
|
||
tags: ["legislation", "bill", "us-in"]
|
||
---
|
||
|
||
# Indiana SB 140 (2025) — Pharmacy benefits.
|
||
|
||
Requires an insurer, a pharmacy benefit manager, or any other administrator of pharmacy benefits to ensure that a network utilized by the insurer, pharmacy benefit manager, or other administrator is reasonably adequate and accessible and file an annual report regarding the network with the commissioner of the department of insurance (commissioner). Sets forth certain limitations and requirements with respect to the provision of pharmacy or pharmacist services under a health plan. Allows any insured, pharmacy, or pharmacist impacted by an alleged violation to file a complaint with the commissioner. Provides that the commissioner may order reimbursement to any person who has incurred a monetary loss as a result of a violation. Requires, if a pharmacy benefit manger is used with regard to a state employee health plan, the state personnel department to either create a pharmacy benefit manager or contract with an insurer, a pharmacy benefit manager, or other administrator. Prohibits a third party administrator from: (1) requiring, as a condition of a plan sponsor entering into a contract with the third party administrator, that the plan sponsor enter into a contract with a particular pharmacy benefit manager; or (2) charging a different fee for services provided by the third party administrator to a plan sponsor based on the plan sponsor's selection of a particular pharmacy benefit manager. Urges the legislative council to assign to the appropriate study committee the task of studying the topic of contracts for pharmacy benefit coverage under the Medicaid program and a state employee health plan.
|
||
|
||
## Version chain
|
||
|
||
The bill's text revisions, in order — the diff chain from filing to enrollment.
|
||
|
||
1. **Engrossed Senate Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2025/senate/bills/SB0140/SB0140.04.ENGS.pdf)
|
||
2. **Engrossed Senate Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2025/senate/bills/SB0140/SB0140.06.ENGH.pdf)
|
||
3. **Enrolled Senate Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2025/senate/bills/SB0140/SB0140.07.ENRH.pdf)
|
||
4. **Introduced Senate Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2025/senate/bills/SB0140/SB0140.01.INTR.pdf)
|
||
5. **Senate Bill (H)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2025/senate/bills/SB0140/SB0140.05.COMH.pdf)
|
||
6. **Senate Bill (S)** (committee substitute) — [source](https://iga.in.gov/pdf-documents/124/2025/senate/bills/SB0140/SB0140.03.COMS.pdf)
|
||
|
||
## Votes
|
||
|
||
- SB 140 - McGuire - 3rd Reading — **95–0** (pass) · lower
|
||
- SB 140 - Charbonneau — **39–10** (pass) · upper
|
||
- SB 140 - Charbonneau - 3rd Reading — **47–2** (pass) · upper
|
||
- SB 140 - McGuire — **84–1** (pass) · lower
|
||
|
||
## Sponsors
|
||
|
||
- Andy Zay — primary (person)
|
||
- Ed Charbonneau — primary (person)
|
||
- Julie McGuire — primary (person)
|
||
- Tyler Johnson — primary (person)
|
||
- Chris Campbell — cosponsor (person)
|
||
- Gary Byrne — coauthor (person)
|
||
- Lonnie Randolph — coauthor (person)
|
||
- Robin Shackleford — cosponsor (person)
|
||
- Vaneta Becker — coauthor (person)
|
||
|
||
## Timeline
|
||
|
||
The legislative action history — every referral, reading, and vote.
|
||
|
||
- **2025-01-08** First reading: referred to Committee on Health and Provider Services `reading-1, referral-committee`
|
||
- **2025-01-08** Authored by Senator Charbonneau
|
||
- **2025-01-13** Senator Johnson T added as second author
|
||
- **2025-01-23** Committee report: amend do pass adopted; reassigned to Committee on Appropriations `committee-passage, referral-committee`
|
||
- **2025-02-13** Senator Zay added as third author
|
||
- **2025-02-13** Committee report: amend do pass, adopted `committee-passage`
|
||
- **2025-02-13** Senator Randolph added as coauthor
|
||
- **2025-02-17** Senator Byrne added as coauthor
|
||
- **2025-02-18** Placed back on second reading
|
||
- **2025-02-18** Second reading: ordered engrossed `reading-2`
|
||
- **2025-02-19** Amendment #8 (Johnson T) prevailed; voice vote `amendment-passage`
|
||
- **2025-02-19** Reread second time: amended, ordered engrossed `reading-2`
|
||
- **2025-02-19** Amendment #13 (Charbonneau) prevailed; voice vote `amendment-passage`
|
||
- **2025-02-20** House sponsor: Representative McGuire
|
||
- **2025-02-21** Referred to the House `referral`
|
||
- **2025-02-20** Third reading: passed; Roll Call 175: yeas 47, nays 2 `passage, reading-3, reading-3`
|
||
- **2025-02-20** Senator Becker added as coauthor
|
||
- **2025-03-03** First reading: referred to Committee on Insurance `reading-1, referral-committee`
|
||
- **2025-03-13** Representative Shackleford added as cosponsor
|
||
- **2025-03-13** Representative Campbell added as cosponsor
|
||
- **2025-04-08** Committee report: amend do pass, adopted `committee-passage`
|
||
- **2025-04-14** Amendment #1 (Carbaugh) prevailed; voice vote `amendment-passage`
|
||
- **2025-04-14** Second reading: amended, ordered engrossed `reading-2`
|
||
- **2025-04-14** Amendment #3 (Lehman) prevailed; voice vote `amendment-passage`
|
||
- **2025-04-15** Third reading: passed; Roll Call 446: yeas 95, nays 0 `passage, reading-3, reading-3`
|
||
- **2025-04-16** House conferees appointed: McGuire and Campbell
|
||
- **2025-04-16** Returned to the Senate with amendments `receipt`
|
||
- **2025-04-16** House advisors appointed: Lehman, Carbaugh, Barrett, Dant Chesser and Shackleford
|
||
- **2025-04-16** Motion to dissent filed `filing`
|
||
- **2025-04-16** Senate dissented from House amendments
|
||
- **2025-04-17** Senate conferees appointed: Charbonneau and Ford J.D.
|
||
- **2025-04-17** Senate advisors appointed: Jackson L, Johnson T and Zay
|
||
- **2025-04-24** Signed by the President Pro Tempore `passage`
|
||
- **2025-04-24** Rules Suspended. Conference Committee Report 1: adopted by the Senate; Roll Call 523: yeas 39, nays 10
|
||
- **2025-04-25** Signed by the Speaker `passage`
|
||
- **2025-04-24** Rules Suspended. Conference Committee Report 1: adopted by the House; Roll Call 560: yeas 84, nays 1
|
||
- **2025-05-06** Public Law 189 `became-law`
|
||
- **2025-05-06** Signed by the Governor `executive-signature`
|
||
- **2025-04-29** Signed by the President of the Senate `passage`
|
||
- **2025-04-24** CCR # 1 filed in the Senate `filing`
|
||
- **2025-04-24** CCR # 1 filed in the House `filing`
|
||
|
||
## Source
|
||
|
||
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/d0337506-3bd0-47ae-80d8-903cde4f4a4f`. Confidence: reported (aggregated from official Indiana legislature records).
|
||
|