State Legislative Action to Lower Pharmaceutical Costs
*Updated Oct. 4, 2018*
Find the status of state legislation to curb prescription drugs below. Use the category button to search by type of legislation or click on a state to view its drug bills. Click here to view a chart listing legislation by state. View state action in 2017 and 2015-2016.
Know about a bill to add or have information to update? Contact Jennifer Reck. This map and chart are supported by The Laura and John Arnold Foundation.
Pharmacy Benefit Manager: These bills regulate pharmacy benefit managers and outlaw “gag clauses” that prevent pharmacists from telling consumers when there are cheaper drug options available. The bills can also require fuller disclosure about the business relationships between pharmacy benefit managers, health plans, and pharmacies to protect consumers.
Total Bills: 91
Drug Importation: These bills establish a state-administered, wholesale operation to import prescription drugs from Canada.
Total Bills: 9
Drug Price Transparency: These bills generally require drug manufacturers to report the reasons behind dramatic drug price increases that exceed 10 percent or more over a 12-month period.
Total Bills: 27
Study: These bills create a state task force or commission to study and find solutions to high prescription drug costs, and then recommend legislative, regulatory, or administrative actions.
Total Bills: 6
Volume Purchasing: These bills direct state agencies to explore different drug purchasing and negotiating approaches to achieve additional cost-savings. These can include multi-agency rebate negotiations with drug makers or pharmacy benefit managers.
Total Bills: 4
Rate-Setting Legislation: These bills create a commission to establish statewide payment limits on some high-priced drugs. These payment ceilings apply to all the payers and suppliers operating in the state. These commissions are loosely modeled on public commissions that regulate public utilities.
Total Bills: 6
Anti-Price-Gouging Legislation: These bills enable states to take legal action and impose financial penalties on drug manufacturers that dramatically increase their prices over specific time periods.
Total Bills: 12
Other Legislation: These bills do not fit neatly into the major categories, but are designed to curb prescription drug costs.