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Bill

HB 2380

HHR, Secretary of; Pharmacy Benefits Manager & Third-Party Administrator Oversight Work Group.

2025 Regular Session Introduced by Keith Hodges

Virginia establishes HHR work group to study and provide oversight of Pharmacy Benefits Managers and Third-Party Administrators' practices and transparency.

Tabled in Rules (14-Y 0-N)
0
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Bill Summary · HB 2380

Legislative bill overview

HB 2380 establishes a work group under the Department of Health and Human Resources to study and provide oversight of Pharmacy Benefits Managers (PBMs) and Third-Party Administrators (TPAs) operating in Virginia. The bill directs this work group to examine regulatory gaps, pricing practices, and transparency issues related to these intermediary entities that manage prescription drug benefits and insurance administration.

Why is this important

PBMs and TPAs significantly influence prescription drug costs and insurance accessibility for Virginia residents, yet operate with limited state oversight compared to insurers and pharmacies. Understanding their practices could lead to future legislation addressing drug pricing, pharmacy reimbursement rates, and consumer protection—issues affecting healthcare affordability for thousands of Virginians.

Potential points of contention

  • Industry resistance: PBMs and TPAs may oppose increased regulatory scrutiny, arguing it could increase administrative costs or reduce their operational flexibility
  • Scope limitations: The work group is investigative only; without enforcement mechanisms or specific regulatory recommendations, it may have limited practical impact
  • Cost and timeline: Creating and staffing a new work group requires resources, and the study period is undefined, potentially delaying action on urgent pricing concerns

Compiled from official sources — confirm details with the bill’s official record.

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