Forbes March 18, 2025
Despite bipartisan support, a last-ditch effort to pass a healthcare package that included pharmacy benefit manager reforms was scuttled last week. This marks the umpteenth time that lawmakers couldn’t cross the threshold to pass and enact changes to how PBMs do business.
It’s not for lack of congressional hearings on PBM reform over the years, or the introduction of numerous bills that include provisions directed at potentially anti-competitive practices. Lawmakers on both sides of the aisle agree that changes are needed.
The legislative initiatives center around issues such as spread pricing, which is a practice where PBMs charge health plans or employers a higher price for medications than what they pay to pharmacies, keeping the difference (spread) as profit. Bills...
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