SB 669 — Pharmacy benefits managers; requirements, application of law, report, delayed effective date.
VA 20261 session
Pharmacy benefits managers; requirements; scope; report. Requires all health insurance carriers to use the pass-through pricing model and may limit a pharmacy benefits manager from deriving income from pharmacy benefits management services provided to a carrier except for income derived from a pharmacy benefits management fee. The bill prohibits a pharmacy benefits manager from (i) reversing and or resubmitting the claim of a pharmacist or pharmacy without meeting certain requirements, (ii) reducing any payment to a pharmacist or pharmacy to an effective rate of reimbursement, or (iii) retroactively denying or reducing a claim or aggregate of claims except under certain circumstances. The bill requires the State Corporation Commission (the Commission) to examine the practice of carriers or pharmacy benefits managers requiring or inducing covered individuals to utilize pharmacy services at an affiliated pharmacy. The Commission is required to report its findings and recommendations to the General Assembly by December 1, 2027. Certain provisions of the bill have a delayed effective date of July 1, 2027. This bill incorporates SB 410 and SB 413 and is identical to HB 830.
Latest action: — Acts of Assembly Chapter
Sponsors (2)
- Aaron R. Rouse (D, VA) — sponsor
- Mark J. Peake (R, VA) — cosponsor
Action timeline (46)
- · senate · S4020 —
- · senate · S0201 —
- · senate · S8122 —
- · senate · S8122 —
- · senate · S0208 —
- · senate · S4099 —
- · senate · S0208 —
- · senate · S4099 —
- · senate · S4640 —
- · senate · S0505 —
- · senate · S4150 —
- · senate · S4140 —
- · senate · S4160 —
- · senate · S4160 —
- · senate · S4160 —
- · senate · S4120 —
- · senate · S4410 —
- · senate · S4600 —
- · senate · S4601 —
- · senate · S5000 —
- · senate · S8500 —
- · house · H5220 —
- · house · H4110 —
- · house · H1401 —
- · house · H1408 —
- · house · H4640 —
- · house · H4120 —
- · house · H4009 —
- · house · H4160 —
- · house · H4641 —
- · house · H8123 —
- · house · H4130 —
- · house · H4410 —
- · house · H4420 —
- · house · H4603 —
- · house · H5022 —
- · senate · S5432 —
- · senate · S5610 —
- · senate · S5601 —
- · house · H5620 —
- · senate · S5620 —
- · senate · S7010 —
- · G7010 —
- · senate · S8500 —
- · G7050 —
- · G9998 —
Text versions (0)
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Bill text (extracted)
Amendments
Congressional Research Service briefs (0)
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Who matters on this bill
Who matters
Members ranked by combined influence on this bill: role (sponsor 5 / cosponsor 1), capped speech count from the Congressional Record, and recorded-vote engagement.
| # | Member | Role | Speeches | Voted | Score |
|---|---|---|---|---|---|
| 1 | Aaron R. Rouse (D, state_upper VA) | sponsor | 0 | — | 5 |
| 2 | Mark J. Peake (R, state_upper VA) | cosponsor | 0 | — | 1 |
Stance (positions taken)
Predicted vote
Aggregated from: actual roll-call votes (when present) → sponsor → cosponsor → party median (predicts YES when ≥25% of the caucus sponsored/cosponsored). Each row labels its confidence tier so you can see why a position was predicted.
0 predicted yes (0%) · 543 predicted no (100%) · 0 unknown (0%)
By party: · R: 0 yes / 277 no · D: 0 yes / 263 no · I: 0 yes / 3 no