State Update: New York Releases Major Market Conduct Regulations for Pharmacy Benefit Managers

Topic(s):

Legislation & Regulation

On Nov. 21, the New York Department of Financial Services (DFS) announced sweeping market conduct regulations for pharmacy benefit managers (PBMs) serving health plans in the state. The DFS rule implements a landmark 2021 bill, S. 3762/A. 1396, which imposed restrictions on PBM contracts with health plans and pharmacies and established consumer protections. This action follows previous DFS rulemaking that created a broad definition of pharmacy benefit management services, required PBMs operating in the state to obtain a license, and established annual reporting requirements.

Letters, Statements & Analysis June 27, 2025

Supreme Court Ruling on the Constitutionality of the USPSTF

In Kennedy v. Braidwood Management, Inc., the plaintiffs challenged the constitutionality of the USPSTF, arguing that USPSTF members should be considered “principal officers” under the Appointments Clause and, therefore, must be appointed by the President and confirmed by the Senate.

Legislation & Regulation

Letters, Statements & Analysis June 26, 2025

AMCP Comment Letter on Medicare Drug Price Negotiation Program Draft Guidance

As CMS explores strategies to increase the adoption of digital health tools, AMCP urges CMS to support broader coverage of prescription digital therapeutics (PDTs) under Medicare and Medicaid. PDTs represent an emerging class of software-based treatments that deliver clinically validated therapeutic benefits, either independently or in combination with other interventions. These products can play a transformative role in improving access, especially for patients with behavioral health conditions or chronic diseases.

Quality of Care, Legislation & Regulation, Coverage Parity, Drug Utilization Review (DUR)

Letters, Statements & Analysis June 18, 2025

Legislative Update: Senate Finance Committee Releases Reconciliation Bill Text

Following House passage of congressional Republican’s budget reconciliation package, the One Big, Beautiful Bill Act (H.R. 1), Senate Republicans took to their respective committees to provide edits and changes to the massive tax-cut, border security, energy reform, and health care package.

Legislation & Regulation