Advocacy

Make your voice heard. Learn about PDAB legislation and implementation processes across the country.

Legislation

Florida: HB 697 + SB 1158

Prescription Reduction Incentives and Competition Enhancement Act
– Implements international reference pricing of prescription drugs
– Implements certain PBM reforms
– Restricts mid-year health plan formulary changes

HB 697

12/9/25 – Introduced
12/16/25 – Referred to Health & Human Services and Budget Committees
12/16/25 – Assigned to Health Care Facilities & Systems Subcommittee
1/21/26 – Reported Favorably and sent to Budget Committee
1/27/26 – Reported Favorably and sent to Health and Human Services Committee
2/26/26 – Amended to remove reference pricing and Reported Favorably.

Read the Bill

SB 1158

1/6/26 – Filed
1/12/26 – Referred to Health Policy, Appropriations Committee on Health & Human Services, Rules

Read the Bill

Georgia: HB 931

Establishment of the Prescription Drug Affordability Board and Prescription Drug Cost Controls

1/12/26 – House Second Reading

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Hawaii: SB 2933

Establishment of the Prescription Drug Affordability Board with authority to set upper payment limits.

1/23/26 – Introduced
1/26/26 – Passed First Reading
1/30/26 – Referred to HHS/CPN, WAM/JDC

Read the Bill

Illinois: HB 1443 + SB 66

Establishes the health Care Availability and Access Board and authorizes the setting of upper payment limits for prescription drugs.

HB 1443

1/17/25 – Introduced
2/18/25 – Referred to Health Care Availability & Accessibility Committee

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SB 66

1/13/25 – Introduced and referred to Assignments Committee

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Louisiana: SB 369 + SB 401

SB 369

Implements reference pricing tied to Medicare’s maximum fair price.

2/27/26 – Prefiled
3/9/26 – Referred to Committee on Insurance

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SB 401

Establishes a prescription drug affordability board that makes recommendations to the legislature.

2/27/26 – Prefiled
3/9/26 – Referred to Committee on Insurance

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Michigan: SB 3

Prescription Drug Cost and Affordability Review Act
Establishes a Prescription Drug Affordability Board.

1/8/25 – Introduced and Referred to Committee on Finance, Insurance, and Consumer Protection
4/24/25 – Reported Favorably with Substitute
4/24/25 – PASSED Senate: 20 YES – 15 NO
4/24/25 – Referred to House Committee on Government Operations

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Rhode Island: S 2384

Implements price limits on prescription drugs referenced to Medicare’s maximum fair price.

1/30/26 – Introduced and Referred to Senate Health and Human Services Committee

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Virginia: HB 483 + SB 271

Establishes a Prescription Drug Affordability Board and provides authority to set upper payment limits on prescription drugs.

HB 483

1/12/26 – Introduced and Referred to Committee on Labor and Commerce
1/19/26 – Assigned to Subcommittee #1
1/27/26 – Subcommittee #1 recommends reporting from full committee and referring to Appropriations Committee
1/29/26 – Reported from Labor and Commerce Committee
2/9/26 – Reported from Appropriations Committee
2/13/26 – Passed House: YES 61 – NO 33
2/16/26 – Referred to Senate Commerce and Labor

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SB 271

1/12/26 – Introduced and Referred to Committee on Education and Health
1/21/26 – Re-referred to Labor and Commerce Committee
1/26/26 – Reported from Labor and Commerce, sent to Finance and Appropriations Committee
2/3/26 – Reported from Finance and Appropriations
2/6/26 – Passed Senate: YES 31 – NO 8
2/12/26 – Referred to House Committee on Appropriations

Read the Bill

West Virginia: HB 5149

Establishes a Prescription Drug Affordability Board and provides authority to set upper payment limits on prescription drugs.

2/3/26 – Introduced and Referred to Committees on Health and Human Services then Finance

Read the Bill

 

Implementation

Colorado Prescription Drug Affordability Board

Board Website

Next Regular Meeting: April 3, 2026 – 10AM MST
Register HERE
Agenda TBD

Previous Findings:
Trikafta – Not Unaffordable
Genvoya – Not Unaffordable
Enbrel – Unaffordable
Stelara – Unaffordable
Cosentyx – Unaffordable

In October 2025, the Board set an upper payment limit for Enbrel based on Medicare’s Maximum Fair Price. Rulemaking hearings for Stelara and Cosentyx are forthcoming.

Maine Prescription Drug Affordability Board

Board Website

Next Regular Meeting: March 23, 2026 – 10:30 AM MST
Register HERE

In 2026, the Board will study upper payment limits and reference pricing, PBM reform, and other topics.

Maryland Prescription Drug Affordability Board

Board Website

Next Regular Board Meeting: March 23, 2026 – 2PM EST
Registration and Agenda HERE

At the May 2024 meeting, the PDAB selected six drugs for cost review:
Farxiga
Jardiance
Ozempic
Trulicity
Dupixent
Skyrizi

In July, 2025, the PDAB voted that Farxiga and Jardiance may cause affordability challenges. In November 2025, the PDAB voted that Ozempic and Trulicity may cause affordability challenges. Cost reviews for other selected drugs remain ongoing.

Minnesota Prescription Drug Affordability Board

Board Website

Next Regular Board Meeting: April 14, 2026 – 9:00AM CDT
Agenda TBD

Oregon Prescription Drug Affordability Board

Board Website

Next Meeting: March 18, 2026 – 8AM PDT
Register HERE
Agenda HERE

In June 2024, the board voted to pause current assessments in order to reevaluate their process and data, with assessments resuming in 2025. In March 2025, the PDAB selected 27 drugs to review. In June 2025, the list was narrowed to 23 drugs. It plans to review five or more drugs each month July through October, but has extended the deadline to publish its final report on affordability for the drugs to March 2026.

2025 Findings (Jan ’26):
Drugs that may cause affordability challenges:
Vraylar
Cosentyx
Trulicity

2024 Findings:
Ozempic – May Cause Affordability Challenges (2/21)
Trulicity – May Cause Affordability Challenges (2/21)
Shingrix- Reviewed, No Motion to Add to List of Drugs That May Cause Affordability Challenges (2/21)
Inflectra – Removed from Affordability Review (5/15)
Skyrizi – Removed from Affordability Review (5/15)

 

Washington Prescription Drug Affordability Board

Board Website

Next Meeting: March 18, 2026 – 8:30AM PST
Registration and Materials HERE

During its July 2025 meeting, the PDAB selected four drugs for cost review:
Enbrel
Xtandi
Cabometyx
Humira

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