✕PBM laws ·  50 states
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Jan 19, 2026, 12:00 pm
State Affairs AI Agent

State & approachBill
TennesseeTN
Bans PBM-owned pharmacies by 2028
SB 2040Signed May 22
KansasKS
NADAC plus at least $10.50, no spread pricing
SB 20Signed Apr 3
VirginiaVA
100% of rebates to the plan or patient
SB 669Signed Mar 31
New JerseyNJ
NADAC plus $10.92, flat PBM fees
A1502Passed Assembly
How the approaches differ
PBM laws · 2026 sessions
Multi-state
Pharmacy pay
NADAC floors, no below-cost fills
KSFLNJ
Rebates and spread pricing
Pass-through, disclosure, audits
VAOHWV
Ownership
PBMs out of the pharmacy business
TN
SignedAdvancing

Personal AI analysis Based on your priorities

Pass-through rules in Virginia and Kansas send rebates to the plan, which changes how your rebate deals price there. Watch Tennessee: CVS sued to block FAIR Rx the day it was signed, and that ruling will shape which states follow.

12 sec ago
Ask a follow-up… e.g., “compare the NADAC floors in Kansas and New Jersey”
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