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Bill

SB 389

Revises provisions relating to the administration of pharmacy benefits under Medicaid and certain other health plans. (BDR 38-240)

2025 Regular Session Introduced by Skip Daly and 2 co-sponsors

SB 389 strengthens Nevada's oversight of pharmacy benefit managers to increase transparency and accountability in Medicaid and health plan drug coverage administration.

Approved by the Governor. Chapter 390.
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Bill Summary · SB 389

Legislative bill overview

SB 389 modifies how pharmacy benefits are managed and administered under Nevada's Medicaid program and other health plans. The bill establishes new regulatory requirements and oversight mechanisms for pharmacy benefit managers (PBMs) operating in the state. These changes aim to increase transparency and accountability in prescription drug coverage decisions.

Why is this important

Pharmacy benefit managers control which drugs patients can access, how much they cost, and which pharmacies participate in networks. Changes to PBM regulations directly affect medication affordability and accessibility for Medicaid beneficiaries and other insured Nevadans. The bill's passage with unanimous Senate support suggests broad legislative agreement that PBM oversight needed strengthening.

Potential points of contention

  • PBM cost-shifting: Rules limiting how PBMs can recoup costs may increase administrative fees or reduce network pharmacies, potentially limiting patient access in rural areas
  • Compliance burden: New administrative requirements could increase operational costs for insurers and PBMs, which may be passed to consumers through higher premiums
  • Implementation details: The bill's specific provisions (not detailed in legislative summary) could significantly impact drug pricing, but the details remain unclear without the full text

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

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