As Congress advances pharmacy benefit manager legislation in the 2026 session, there is a wealth of state experience to build on. To date, all 50 states have passed legislation to regulate pharmacy benefit managers (PBMs).
The chart below provides a snapshot of common provisions in state PBM legislation through 2025. To learn more about each provision, check out the overview table below the chart, which includes definitions and a list of states that have passed legislation with each provision.
To view all enacted state PBM legislation, browsable by state and by year, visit our State Drug Pricing Laws tracker and select “Pharmacy Benefit Manager” from the dropdown menu.
Have questions about this information? Contact Katie Graves.
