Bill
HF 1076
Pharmacy benefit managers and health carriers required to include lower-cost drugs in their formularies, and formulary structure and formulary tiering for each health plan required to give preference to the drug with the lowest out-of-pocket cost to the patient.
2025-2026 Regular Session
Introduced by Esther Agbaje and 4 co-sponsors
HF 1076 requires PBMs and health plans to prioritize lower-cost, patient OOP drugs in formularies and tiering to reduce out-of-pocket costs for enrollees.
Author added Agbaje