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Bill

SB 210

Regards licensing, contracts for pharmacy benefit managers

136th Legislature (2025-2026) Introduced by Bill Blessing

Ohio would require pharmacy benefit managers to obtain state licenses and comply with contract regulations affecting drug pricing, pharmacy access, and insurance administration practices.

Referred to committee
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Bill Summary · SB 210

Legislative bill overview

SB 210 establishes licensing requirements and contract regulations for pharmacy benefit managers (PBMs) operating in Ohio. The bill creates a state licensing framework that would govern how PBMs conduct business, manage formularies, and handle contractual relationships with pharmacies and insurers.

Why is this important

PBMs are intermediaries that manage prescription drug benefits for insurance plans and self-insured employers, controlling which drugs are covered and at what cost. This regulation directly affects drug pricing transparency, pharmacy access, and ultimately what Ohioans pay for medications—an issue affecting millions of residents and small pharmacy viability.

Potential points of contention

  • Industry compliance costs: PBMs may argue licensing requirements increase operational costs, potentially raising premiums or reducing competition; supporters counter that transparency justifies costs
  • Pharmacy protection vs. market concerns: Small independent pharmacies support stronger PBM oversight, while larger chains and PBMs worry about restrictions limiting their business models and negotiating power
  • Scope of state authority: Questions about whether Ohio can effectively regulate entities operating multi-state networks and whether federal regulation should take precedence

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

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