House File 2099 - Enrolled
House File 2099
AN ACT
RELATING TO THE REGULATION OF PHARMACY BENEFITS MANAGERS.
3 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:
1 Section 1. Section 510B.1, subsection 10, paragraph b, Code
2 2024, is amended to read as follows:
3 b. National average drug acquisition cost.
4 Sec. 2. Section 510B.4, subsection 1, Code 2024, is amended
5 to read as follows:
6 1. A pharmacy benefits manager shall exercise good faith
7 and fair dealing in the performance of the pharmacy benefits
8 manager’s contractual obligations toward a third-party payor
9 or a pharmacy.
10 Sec. 3. NEW SECTION. 510B.4A Retaliation prohibited.
11 A pharmacy benefits manager shall not retaliate against
12 a pharmacy based on the pharmacy’s exercise of any right or
13 remedy under this chapter, including but not limited to filing
14 a complaint with the commissioner or cooperating with the
15 commissioner pursuant to the commissioner’s authority under
16 this chapter. Retaliation prohibited by this section shall
17 include but is not limited to all of the following:
18 1. Terminating or refusing to renew a contract with the
19 pharmacy.
20 2. Subjecting the pharmacy to increased audits.
21 3. Withholding or failing to promptly pay the pharmacy any
22 money owed by the pharmacy benefits manager to the pharmacy.
House File 2099, p. 2
23 Sec. 4. Section 510B.7, Code 2024, is amended to read as
24 follows:
25 510B.7 Pharmacy networks fees.
26 A pharmacy benefits manager shall not assess, charge, or
27 collect any form of remuneration that passes from a pharmacy
28 or a pharmacist in a pharmacy network to the pharmacy benefits
29 manager including but not limited to claim processing fees,
30 performance-based fees, network participation fees, or
31 accreditation fees.
32 Sec. 5. Section 510B.8A, subsection 2, paragraph b, Code
33 2024, is amended to read as follows:
34 b. Update the maximum allowable cost list within seven
35 calendar days from the date of an increase of ten percent or
1 more in the pharmacy national average drug acquisition cost
2 of a prescription drug on the list by one or more wholesale
3 distributors doing business in the state.
4 Sec. 6. Section 510C.2, subsection 2, paragraph a,
5 unnumbered paragraph 1, Code 2024, is amended to read as
6 follows:
7 A pharmacy benefits manager shall provide the information
8 pursuant to subsection 1 to the commissioner in a format
9 approved by the commissioner that does not directly or
10 indirectly publicly disclose any of the following:
______________________________ ______________________________
PAT GRASSLEY AMY SINCLAIR
Speaker of the House President of the Senate
I hereby certify that this bill originated in the House and
is known as House File 2099, Ninetieth General Assembly.
______________________________
MEGHAN NELSON
Chief Clerk of the House
Approved _______________, 2024 ______________________________
KIM REYNOLDS
Governor

Statutes affected:
Introduced: 510B.1, 510B.4, 510B.7, 510B.8A, 510C.2
Enrolled: 510B.1, 510B.4, 510B.7, 510B.8A, 510C.2