SB478 Relative to strengthening prescription drug affordability and pharmacy benefits manager accountability.
Relative to strengthening prescription drug affordability and pharmacy benefits manager accountability.
Impact Score — How Does This Bill Affect You?
Overall Impact Score
Mixed
Scale: 1 (harmful) to 10 (beneficial)
Your Wallet
PBM accountability measures could reduce prescription drug costs for NH families by limiting hidden fees, spread pricing, and clawback practices that inflate what consumers pay.
Your Community
Greater PBM oversight helps independent pharmacies survive and ensures patients get fair drug pricing, particularly important in rural NH where pharmacy access is limited.
Your Freedom
Increases consumer information about drug pricing but adds regulatory requirements to the PBM industry.
Status
Pending Motion Interim Study; 03/12/2026; Senate Journal 6
Sponsor
Tim McGough (R)
The Short Version
Strengthens oversight of pharmacy benefit managers (PBMs) to increase accountability and help make prescription drugs more affordable. PBMs are middlemen that negotiate drug prices between pharmacies and insurers.
Who's Behind This Bill?
Who Benefits
- ▲ NH residents paying for prescription drugs
- ▲ Independent pharmacies
- ▲ Small employers providing health insurance
Who Pays the Price
- ▼ Pharmacy benefit managers facing new accountability requirements
- ▼ Large insurance companies that profit from opaque PBM practices
Bill statuses as of May 2026. Check LegiScan or NH General Court for the latest.
This bill was auto-scored using AI analysis of the bill text and legislative data. Scores may be refined as we review more bills.