SB387 - Pharmacy Benefit Managers Regulation
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
- Health insurers and PBMs operating in Louisiana should review SB387 requirements and prepare compliance procedures
- Insurers should assess PBM contract structures for fiduciary duty compliance
- 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...
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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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