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Bill

SB 789

Pharmacy benefit managers; permitting use of certain records without limitations of date or source for certain purposes; establishing certain reimbursement rates for certain drugs. Effective date.

2026 Regular Session

Oklahoma law expands PBM access to pharmacy records and establishes new drug reimbursement rates, potentially affecting medication pricing and pharmacy sustainability.

Becomes law without Governor's signature 05/28/2025
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Bill Summary · SB 789

Legislative bill overview

SB 789 expands pharmacy benefit managers' (PBMs) access to pharmacy records without time or source restrictions for specific purposes, and establishes new reimbursement rate frameworks for certain drugs. The bill became law in Oklahoma without the Governor's signature on May 28, 2025, passing unanimously in the House (46-0).

Why is this important

PBMs are intermediaries that negotiate drug prices and manage prescription benefits for insurance plans, wielding significant control over medication access and costs. This law's record-access provisions and reimbursement rate changes could affect how medications are priced, which drugs pharmacies can afford to stock, and ultimately what patients pay for prescriptions—while also potentially increasing PBM operational authority.

Potential points of contention

  • Privacy concerns: Unrestricted pharmacy record access without date or source limitations raises questions about patient privacy protections and what "certain purposes" specifically entails
  • Reimbursement rate impacts: New rate-setting frameworks could squeeze independent pharmacies' margins if rates are set below their acquisition costs, potentially reducing medication access in rural or underserved areas
  • Transparency gap: The bill's vague language around "certain purposes" and "certain drugs" makes it unclear which stakeholders benefit and whether adequate oversight mechanisms exist

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

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