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RI H7825
Bill
Status
2/26/2026
Primary Sponsor
Jennifer Stewart
Click for details
AI Summary
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Requires the Secretary of the Executive Office of Health and Human Services (EOHHS) to ensure managed care organizations (MCOs) and pharmacy benefit managers (PBMs) working with Rhode Island Medicaid are transparent and demonstrate improvement in patient health outcomes
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Prohibits "spread pricing" by PBMs in Medicaid contracts, where PBMs charge health plans more than they reimburse pharmacies for prescription drugs and retain the difference as profit
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Mandates that EOHHS contracts with MCOs include provisions requiring PBMs to cease spread pricing activities
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Aims to reduce unnecessary prescription drug costs for the Rhode Island Medicaid program and patients
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Takes effect immediately upon passage
Legislative Description
Requires the secretary of the executive office of health and human services to monitor and mandate changes to the price-setting practices of pharmacy benefit managers to prohibit the spread pricing payment model.
State Affairs And Government
Last Action
Introduced, referred to House Finance
2/26/2026