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SB 547 · 2026 · Senate · Health and Human Services Committee

Pharmacy benefit manager transparency rules

AI-generated

relative to regulation and transparency of pharmacy benefit manager practices.

Amends definitions governing pharmacy benefit managers, imposes a fiduciary duty toward health carrier clients, and prohibits pharmacy benefit managers from retaining any portion of spread pricing.AI-generated

Status

Referred to interim study (Senate) · March 6, 2026
  1. ✓Introduced
  2. ✕Senate
  3. House
  4. Governor
  5. Law

Analysis

This bill amends the definitions of pharmacy benefit manager and rebate and adds additional terms governing pharmacy benefit manager business practices. The bill states that pharmacy benefit managers have a fiduciary duty to the health carrier client and are prohibited from retaining any portion of spread pricing.

From the bill's official ANALYSIS section.

In the bill's words

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

““Affiliate” of, or “affiliated” with, a specific person or other corporate entity means a person or other corporate entity that directly, or indirectly through one or more intermediaries, controls, or is controlled by, or is under common control with, the person or other corporate entity specified.”
RSA 402-N:1
“"Claims processing services" means the administrative services performed in connection with the processing and adjudicating of claims relating to pharmacist services that include:”
RSA 402-N:1
“"Cost share/cost sharing" means the amount paid by a covered person as required under the covered person's health benefit plan.”
RSA 402-N:1
“"Mail order pharmacy" means a pharmacy whose primary business is to receive prescriptions by mail, telefax or through electronic submissions and to dispense medication to covered persons through the use of the United States mail or other common to contract carrier services and that provides any consultation with patients electronically rather than face to face.”
RSA 402-N:1

Official record

Bill page — docket & status

gc.nh.gov · the authoritative source

Sponsors

Sen. Cindy RosenwaldDPrimeDeputy Democratic Leader
  • Sen. David RochefortRChair· Health and Human Services
  • Sen. Rebecca Perkins KwokaDMinority Leader
  • Rep. Lucy WeberDRanking Member· Health, Human Services, and Elderly Affairs
  • Rep. Anita BurroughsDRanking Member· Commerce and Consumer Affairs

Also: Sen. Tim McGoughR, Sen. Donovan FentonD, Sen. David WattersD, Sen. Debra AltschillerD, Rep. Julie MilesR, Rep. David NagelD, Rep. Mark PearsonR

Public testimony

No one submitted online testimony on this bill. See the record

Votes

yeanay
Starting text: Bill as introduced
  • Mar 12, 2026SenateCommittee report: Referred to Interim Study5–0
    Overall
    100% yea
  • Mar 12, 2026SenateVoice voteRefer to Interim Studyadopted

Hearings and debates

  • Jan 14, 2026Public hearingSenate Health and Human Services1:17:48–1:24:466m 58slocated in the stream transcriptHearing
  • Mar 12, 2026Floor debateSenate floorWatchnot located in the transcript — opens the full streamCommittee Report: Referred to Interim Study; Refer to Interim Study — adopted, voice vote

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

Legislative history

  1. Jan 7, 2026SenIntroduced 01/07/2026 and Referred to Health and Human Services; SJ 1
  2. Jan 14, 2026SenHearing: 01/14/2026, Room 100, SH, 09:30 am; SC 47
  3. Mar 12, 2026Sen: Referred to Interim Study, 03/12/2026; Vote 5-0; CC; SC 9
  4. Mar 12, 2026SenRefer to Interim Study, MA, VV; 03/12/2026; SJ 6

Coverage

No reporting linked yet.

Documents (PDF)

  • Introducedversion

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