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Read. Follow. Verify.West Virginia Bill 907 Restricts Pharmacy Benefit Managers and Requires Cost Studies
Last action · February 10, 2026: To Health and Human ResourcesSponsor: Brian Helton
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What This Bill Proposed
West Virginia Senate Bill 907 regulates pharmacy benefit managers (PBMs) by establishing minimum reimbursement floors, prohibiting PBM contracts with West Virginia Medicaid and the Public Employees Insurance Agency if the PBM owns in-state pharmacies, and requiring annual dispensing fee studies and pharmacy cost containment tools.
State health programs, resident insurance beneficiaries, and local pharmacies experience direct changes in drug reimbursement calculations, network participation rules, and price transparency standards.
- Pharmacy benefit managers (PBMs) act as intermediaries between insurance providers and pharmaceutical manufacturers, negotiating drug rebates and setting pharmacy reimbursement rates. context
- The West Virginia Public Employees Insurance Agency (PEIA) provides health coverage for state public employees and teachers. context
Who It Would Have Affected
Groups the bill's text would have affected, as described in the record. Being affected is not a position for or against it.
Pharmacy benefit managers
Subject to new reimbursement floors, ownership restrictions in state contracts, mandatory rebate pass-throughs, and detailed quarterly reporting rules.
West Virginia pharmacies
Protected from below-cost reimbursements, excessive point-of-sale fees, and discriminatory practices regarding 340B entity participation.
West Virginia Public Employees Insurance Agency
Required to exclude PBMs with in-state pharmacy affiliates, implement a cost containment tool, and collect detailed quarterly transparency reports.
West Virginia Medicaid
Prohibited from contracting with PBMs that own in-state pharmacies and mandated to implement a pharmacy cost containment tool by July 1, 2026.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
What is the minimum amount a pharmacy benefit manager can pay a pharmacy for a prescription drug?
Are pharmacy benefit managers allowed to contract with West Virginia Medicaid if they own local pharmacies?
What reporting requirements are imposed on PBMs under PEIA contracts?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
This bill did not become law - Died at adjournment · in Senate committee.
Procedural history
4 actions- Feb 10, 2026SenateCommitteeTo Health and Human Resources
- Feb 10, 2026SenateIntroducedIntroduced in Senate
- Feb 10, 2026SenateCommitteeTo Health and Human Resources then Finance
- Feb 10, 2026SenateIntroducedFiled for introduction
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Sponsors
Discoveries
Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.
Prohibition of Affiliated PBM Contracts
The legislation establishes a strict firewall by barring PBMs from state healthcare contracts if they maintain in-state pharmacy ownership or affiliations.
Connected Entities
Sources
www.wvlegislature.gov
Analysis Score
0–100- Significance20Lowered because this bill did not pass (its text scored 85)
- Controversy75Intensity of disagreement among stakeholders
- Entertainment10Compellingness for a non-policy-wonk reader
- Buzz45Current news / social attention level
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