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SC H4790

Bill

Status

Introduced

1/13/2026

Primary Sponsor

Heath Sessions

Click for details

Origin

House of Representatives

126th General Assembly

AI Summary

  • Requires pharmacy benefits managers (PBMs) to provide "unobstructed access" to their Maximum Allowable Cost Lists for patients, consumers, and network pharmacy providers, replacing the previous requirement for only a "process" to access this information

  • Mandates that PBMs provide unobstructed access to pharmacies subject to Maximum Allowable Cost Lists for any updates to those lists

  • Maintains existing requirements that PBMs update Maximum Allowable Cost Lists at least every seven calendar days

  • Preserves appeal procedures allowing contracted pharmacies to challenge reimbursement amounts when payment is less than the net amount paid to drug suppliers

  • Takes effect upon approval by the Governor

Legislative Description

Pharmacy Benefits Managers - Maximum Allowable Cost Lists

Last Action

Member(s) request name added as sponsor: Taylor

2/3/2026

Committee Referrals

Labor, Commerce and Industry12/16/2025

Full Bill Text

No bill text available