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Bill

Bill

SB 993

Pharmacy benefit managers; establishing requirements and limits for certain audit reports and findings. Emergency.

2026 Regular Session Introduced by Todd Gollihare and 1 co-sponsor

Oklahoma law limits pharmacy benefit manager audits to protect pharmacies from excessive investigations and financial penalties while maintaining drug program oversight.

Becomes law without Governor's signature 05/22/2025
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Bill Summary · SB 993

Legislative bill overview

SB 993 establishes regulatory requirements and limitations on audit reports and findings conducted by Pharmacy Benefit Managers (PBMs) in Oklahoma. The bill, marked as emergency legislation, restricts PBM audit practices and likely defines standards for how PBMs can audit pharmacy claims and operations. It became law without the Governor's signature on May 22, 2025.

Why is this important

PBMs are intermediaries that manage prescription drug benefits for insurance plans and have significant power over pharmacy operations and drug pricing. Excessive or aggressive auduiting by PBMs can create financial hardship for independent pharmacies and affect drug access for consumers. Regulating these audit practices addresses concerns about PBM overreach and protects smaller pharmacies from potentially unfair or burdensome compliance demands.

Potential points of contention

  • PBM operational flexibility vs. pharmacy protection: PBMs may argue that audit restrictions limit their ability to detect fraud and maintain program integrity, while pharmacies contend they face unfair compliance burdens
  • Cost implications: Restricting audits could reduce PBM administrative oversight costs, potentially affecting drug pricing mechanisms and ultimately insurance premiums
  • Definition ambiguity: The bill's specific limitations on "certain audit reports and findings" may be unclear, creating implementation challenges and potential legal disputes over compliance

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

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