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US PBM Reform: ‘Bust Them Up’ A Theme For 2025?

 
• By Laura Helbling

Another House hearing again showcases the bipartisan desire to enact reforms to the US pharmacy benefit management sector. Legislators also sound ready to push for more significant actions than “transparency” measures would promise, but that means waiting until 2025.

2025 is coming
Could 2025 be the year for PBM reform legislation? • Source: Shutterstock

A House Committee on Oversight and Accountability hearing on potential PBM reform legislation suggests there remains strong, bipartisan interest in crafting legislation that could have a significant impact on the sector, but also that any substantive actions will not come before next year.

Key Takeaways

  • A recent House hearing suggests a bipartisan willingness to better regulate PBMs remains intact.

  • However, substantive legislative action likely will not occur until 2025

The committee heard testimony from executives of the “big three” pharmacy benefit management companies, CVS Caremark, Express Scripts and United/Optum Rx, at its 23 July hearing on “transparency and accountability

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