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SB 665 · 2026 · Senate · Health and Human Services Committee

Pharmacy benefit manager regulation changes

AI-generated

(New Title) relative to pharmacy benefits managers, managed care laws, notice of drug pricing options and pharmacy benefit manager business practices.

Requires written agreements between pharmacy benefits managers and health carriers, revises PBM reporting and examination requirements, raises maximum administrative fines, requires notice of lowest-price drug options, and restricts steering incentives.AI-generated

Status

Killed in the House — Inexpedient to Legislate · May 14, 2026
  1. ✓Introduced
  2. ✓Senate
  3. ✕House
  4. Governor
  5. Law

Analysis

This bill: I. Requires written agreement to be formed between pharmacy benefits managers and health carriers before benefits managers can operate. II. Amends pharmacy benefits manager reporting and examination requirements. III. Raises the value of the maximum administrative fine that can be levied for violations of the state's pharmacy benefits manger laws. IV. Requires pharmacies to make efforts to notify consumers of their right to request the lowest available price for prescription drugs. V. Prohibiting health carriers or pharmacy benefit managers from penalizing, requiring, or providing, financial incentives to covered persons as incentives to use specific retail, mail order pharmacy, or another network pharmacy provider that is an affiliate of the pharmacy benefit manager.

From the bill's official ANALYSIS section.

In the bill's words

Quoted verbatim from the bill as amended by the Senate. Passages chosen from the operative text.Computed by this site

“Each pharmacy benefits manager shall submit to the commissioner semi-annually a report containing a list of health benefit plans it administered and the rebates it collected from pharmaceutical manufacturers that were attributable to patient utilization in the state of New Hampshire during the prior calendar year.”
RSA 402-N:6
“The acts of the pharmacy benefits manager shall be considered the acts of the health carrier on whose behalf it is acting.”
RSA 402-N:7
“Every pharmacy licensed in this state shall make reasonable efforts to notify consumers of their right to request the lowest available price for a prescription drug.”
RSA 318:47-n
“A health carrier or pharmacy benefit manager shall be prohibited from penalizing, requiring, or providing financial incentives, including variations in premiums, deductibles, copayments, or coinsurance, to covered persons as incentives to use specific retail, mail order pharmacy, or another network pharmacy provider that is an affiliate of the pharmacy benefit manager.”
RSA 402-N:4-b

Official record

Bill page — docket & status

gc.nh.gov · the authoritative source

Sponsors

Sen. Denise RicciardiRPrimeVice Chair· Commerce
  • Sen. Cindy RosenwaldDDeputy Democratic Leader
  • Sen. Bill GannonRChair· Judiciary
  • Sen. Mark McConkeyRChair· Capital Budget
  • Sen. David RochefortRChair· Health and Human Services
  • Sen. Howard PearlRChair· Executive Departments and Administration
  • Sen. Sharon CarsonRPresident of the Senate
  • Sen. Regina BirdsellRMajority Leader
  • Sen. Rebecca Perkins KwokaDMinority Leader
  • Rep. Katelyn KuttabRClerk· Judiciary
  • Rep. Wayne MacDonaldRChair· Health, Human Services and Elderly Affairs
  • Rep. Loren FoxxDDeputy Ranking Member· Fish and Game and Marine Resources

Also: Sen. Pat LongD, Sen. David WattersD, Sen. Donovan FentonD, Sen. Tara ReardonD, Rep. Catherine RombeauD

Public testimony

10 signed in online · 2 wrote testimony

70% support30% oppose0% neutral

In their wordsVerbatim, exactly as submitted

“My name is Jebb Curelop. I live in Merrimack. I ask you to support Senate Bill 665 There’s a little-known reality in the prescription drug market: prices aren’t always what they seem.…”
— Jebb Curelop, Merrimacksupports
“I support SB 665 because it strengthens transparency and accountability in PBM operations by requiring written agreements, expanding reporting, increasing fines for violations, and prohibiting steering patients toward PBM-owned pharmacies.…”
— Hannah Meiselman, Manchestersupports

Verbatim excerpts of submitted testimony, quoted from the testimony tool.

Read the testimony · as of Aug 12, 2026

Votes

yeanay
Starting text: Bill as introduced
  • Mar 12, 2026SenateCommittee report: Ought to Pass with Amendment # 2026-1047s5–0
    Overall
    100% yea
  • Mar 26, 2026SenateCommittee reportCommittee report: Ought to Pass with Amendment # 2026-1047s5–0
    Overall
    100% yea
  • Mar 26, 2026SenateVoice voteCommittee amendment 2026-1047sadopted
  • Mar 26, 2026SenateVoice voteSen. Ricciardi Floor Amendment # 2026-1239sadopted
  • Mar 26, 2026SenateVoice voteSen. Rosenwald Floor Amendment # 2026-1129sadopted
  • Mar 26, 2026SenateRoll callOught to Pass with Amendments #2026-1047s, and #2026-1239s and #2026-1129sAdopted24–0
    Overall
    100% yea
    Resulting text: Bill as amended by the Senate
  • Apr 29, 2026HouseCommittee report· regular calendar: Inexpedient to Legislate13–2
    Overall
    87% yea
  • May 14, 2026HouseVoice voteInexpedient to Legislateadopted

Hearings and debates

  • Feb 18, 2026Public hearingSenate Health and Human Services2:44:18–3:15:4031m 22slocated in the stream transcriptHearing
  • Mar 26, 2026Floor debateSenate floor1:50:40–2:00:249m 44slocated in the stream transcriptCommittee Report: Ought to Pass with Amendment # 2026-1047s; Ought to Pass with Amendments #2026-1047s, and #2026-1239s and #2026-1129s — adopted, roll call 24-0; Committee Amendment # 2026-1047s — adopted, voice vote
  • Apr 15, 2026Public hearingHouse Commerce and Consumer Affairs2:41:14–2:42:201m 6slocated in the stream transcriptPublic Hearing
  • Apr 22, 2026Public hearingHouse Commerce and Consumer AffairsWatchnot located in the transcript — opens the full streamSubcommittee Work Session
  • Apr 28, 2026Public hearingHouse Commerce and Consumer Affairs1:24:26–1:34:4410m 18slocated in the stream transcriptSubcommittee Work Session
  • Apr 29, 2026Public hearingHouse Commerce and Consumer Affairs46:57–51:504m 53slocated in the stream transcriptMajority Committee Report: Inexpedient to Legislate — roll call; Executive Session
  • May 14, 2026Floor debateHouse floor49:08–50:181m 10slocated in the stream transcriptInexpedient to Legislate — adopted, voice vote

Timestamps locate where this bill is taken up in the chamber's YouTube stream.

Legislative history

  1. Jan 29, 2026SenIntroduced 01/29/2026 and Referred to Health and Human Services; SJ 3
  2. Feb 18, 2026SenHearing: 02/18/2026, Room 100, SH, 09:45 am; SC 6
  3. Mar 12, 2026SenCommittee Report: Ought to Pass with Amendment # 2026-1047s, 03/12/2026; Vote 5-0; CC; SC 9
  4. Mar 12, 2026SenSB 665 was Removed from the Consent Calendar; 03/12/2026; SJ 6
  5. Mar 26, 2026SenSpecial Order to 03/26/2026, Without Objection, MA; 03/12/2026 SJ 6
  6. Mar 26, 2026SenCommittee Report: Ought to Pass with Amendment # 2026-1047s, 03/26/2026, Vote 5-0; SC 11
  7. Mar 26, 2026SenCommittee Amendment # 2026-1047s, AA, VV; 03/26/2026; SJ 7
  8. Mar 26, 2026SenSen. Ricciardi Floor Amendment # 2026-1239s, AA, VV; 03/26/2026; SJ 7
  9. Mar 26, 2026SenSen. Rosenwald Floor Amendment # 2026-1129s, AA, VV; 03/26/2026; SJ 7
  10. Mar 26, 2026SenOught to Pass with Amendments #2026-1047s, and #2026-1239s and #2026-1129s, RC 24Y-0N, MA; OT3rdg; 03/26/2026; SJ 7
  11. Mar 26, 2026HouseIntroduced (in recess of) 03/26/2026 and referred to Commerce and Consumer Affairs HJ 9 P. 55
  12. Apr 15, 2026HousePublic Hearing: 04/15/2026 01:45 pm GP 229
  13. Apr 22, 2026HouseSubcommittee Work Session: 04/22/2026 10:00 am GP 229
  14. Apr 28, 2026HouseSubcommittee Work Session: 04/28/2026 10:00 am GP 229
  15. Apr 29, 2026HouseExecutive Session: 04/29/2026 10:00 am GP 229
  16. Apr 29, 2026HouseMajority : Inexpedient to Legislate 04/29/2026 (Vote 13-2; RC) HC 19 P. 17
  17. May 1, 2026HouseMinority : Ought to Pass with Amendment # 2026-1758h
  18. May 14, 2026HouseInexpedient to Legislate: MA VV 05/14/2026 HJ 13 P. 27

Coverage

No reporting linked yet.

Documents (PDF)

Bill text & amendments link direct to gc.nh.gov; committee reports stream from the state record.