Changeflow GovPing Government General SB387 - Pharmacy Benefit Managers Regulation
Priority review Rule Amended Final

SB387 - Pharmacy Benefit Managers Regulation

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Summary

Louisiana Senate Bill 387 passed the Senate on April 7, 2026, introducing comprehensive regulation of pharmacy benefit managers (PBMs) operating in the state. The legislation, sponsored by Senators Bass and Talbot, addresses PBM licensing requirements, transparency obligations, and fiduciary duties regarding health insurance plan sponsors. The bill was referred to the Insurance Committee and includes committee amendments.

What changed

SB387 introduces a new regulatory framework for pharmacy benefit managers in Louisiana, establishing licensing requirements and oversight by the state insurance department. The legislation mandates greater transparency in PBM operations, including disclosure of rebate arrangements and drug pricing methodologies to health plan sponsors. Committee amendments were adopted during the Senate process, refining the original proposal.

Health insurers utilizing PBM services and PBM operators in Louisiana face new compliance obligations under this legislation. Insurers should review existing PBM contracts to ensure alignment with the fiduciary duty requirements and prepare for enhanced reporting obligations. The legislation affects how pharmacy benefit managers conduct business in the state insurance market.

What to do next

  1. Health insurers and PBMs operating in Louisiana should review SB387 requirements and prepare compliance procedures
  2. Insurers should assess PBM contract structures for fiduciary duty compliance
  3. Monitor for gubernatorial action and any effective date announcements

Source document (simplified)

ChangeBridge / Louisiana / SB387 Passed SB387 Senate Bill Passed 2026-02-27

Provides relative to pharmacy benefit managers. (1/1/27) (OR INCREASE SG EX See Note)

Bill Details

State Louisiana

Session 2026 Regular Session

Chamber Senate

Official Source www.legis.la.gov/legis/BillInfo.aspx?s=26r...

LegiScan View on LegiScan

Sponsors

Adam Bass (Sen - R) Kirk Talbot (Sen - R)

Action History

2026-04-07 S Read by title. Committee amendments read and adopted. Ordered engrossed and passed to third reading and final passage. 2026-04-01 S Reported with amendments. 2026-03-09 S Introduced in the Senate; read by title. Rules suspended. Read second time and referred to the Committee on Insurance. 2026-02-27 S Prefiled and under the rules provisionally referred to the Committee on Insurance.

Committee Referrals

2026-02-27 S Insurance

Amendments

0000-00-00 Senate Committee Amendment #1440 INS Draft 0000-00-00 Senate Committee Amendment #1640 INS Proposed

Bill Text Versions

0000-00-00 Introduced

Subjects

HEALTH/ACC INSURANCE Legislative data powered by LegiScan (CC BY 4.0)

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Source

Analysis generated by AI. Source diff and links are from the original.

Classification

Agency
LA Senate
Instrument
Rule
Legal weight
Binding
Stage
Final
Change scope
Substantive
Document ID
SB387 (2026 Regular Session)

Who this affects

Applies to
Insurers Healthcare providers
Industry sector
5241 Insurance
Activity scope
PBM regulation Health insurance administration Pharmacy benefit management
Geographic scope
US-LA US-LA

Taxonomy

Primary area
Insurance
Operational domain
Compliance
Compliance frameworks
Dodd-Frank
Topics
Healthcare Consumer Finance

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