everything you want to know (and don't) about arkansas politics

Republican Sponsorship
Healthcare

HB1442

To Set Restrictions On Pharmacy Contracting And Conflicts Of Interest; And To Establish Pharmaceutical Patient Freedom Of Choice.

Failed

Last Action (May 5, 2025): Died in Senate Committee at Sine Die adjournment.

Sponsors

AI-Generated Summary

House Bill 1442 seeks to regulate pharmacy contracting practices and protect patient freedom of choice regarding pharmacy services. It prohibits 'parent entities'—defined as hospitals, Federally Qualified Health Centers (FQHCs), or FQHC Look-Alikes that own pharmacies—from using financial incentives to steer patients toward their own internal pharmacies. The bill mandates that these entities must allow other network pharmacies to participate in their prospective cash savings programs, such as those related to the 340B Drug Pricing Program, unless specific cost-recovery exemptions apply. Additionally, the bill establishes a formal right for patients to choose any pharmacy for their prescriptions and requires providers to document this choice. The Arkansas State Board of Pharmacy is empowered to investigate complaints, conduct hearings, and enforce these provisions. Repeated violations may be subject to the state's Unfair Practices Act.

Potential Impact Analysis

Who Might Benefit?

Independent, community, and non-hospital-affiliated pharmacies are the primary beneficiaries, as the bill prevents large health systems from using their market position or internal financial incentives to 'steer' patients away from these smaller providers. Patients also benefit from the codification of 'freedom of choice,' which allows them to select their preferred pharmacy without the influence of financial steering by their healthcare provider.

Who Might Suffer?

Large health systems, hospitals, Federally Qualified Health Centers (FQHCs), and FQHC Look-Alikes that own or manage pharmacies are the primary entities negatively impacted. These entities will face increased regulatory burdens, restrictions on their ability to integrate pharmacy services with their clinical operations, and potentially reduced revenue from their internal pharmacy programs as they are forced to open their preferred pricing and incentive programs to external competitors.

Vote Records

Third Reading

March 3, 2025
Yea: 80 Nay: 8 NV: 12 Absent: 0 Passed
View individual votes (100)
Legislator Party Chamber Vote
Tracy Steele Democrat House Yea
Fred Allen Democrat House NV
Lane Jean Republican House Yea
Stephen Meeks Republican House Yea
Mark Perry Democrat House NV
Jon Eubanks Republican House NV
Matthew Shepherd Republican House Nay
Jeff Wardlaw Republican House NV
Bruce Cozart Republican House Yea
David Whitaker Democrat House Yea
Mike Holcomb Republican House NV
Stephen Magie Democrat House Yea
Mark McElroy Republican House Yea
Richard Womack Republican House Yea
Jack Ladyman Republican House NV
Robin Lundstrum Republican House Yea
Dwight Tosh Republican House Yea
Rick Beck Republican House Yea
Mary Bentley Republican House Yea
Les Eaves Republican House NV
Justin Gonzales Republican House NV
Julie Mayberry Republican House Yea
Ken Ferguson Democrat House Yea
Ron Mcnair Republican House Nay
Marcus Richmond Republican House Yea
Deann Vaught Republican House Nay
Karilyn Brown Republican House Yea
Sonia Eubanks Barker Republican House Yea
Frances Cavenaugh Republican House Yea
Jimmie Gazaway Republican House Yea
Roger Lynch Republican House Yea
John Maddox Republican House Yea
Aaron Pilkington Republican House NV
Johnny Rye Republican House Yea
Les Warren Republican House Nay
Carlton Wing Republican House Yea
Austin Mccollum Republican House Yea
Carol Dalby Republican House NV
Steve Hollowell Republican House Yea
Brian Evans Republican House Yea
Lee Johnson Republican House NV
Andrew Collins Democrat House Yea
Stan Berry Republican House Yea
Harlan Breaux Republican House Yea
Cameron Cooper Republican House Yea
Nicole Clowney Democrat House Yea
Cindy Crawford Republican House Yea
Denise Garner Democrat House Yea
Tippi McCullough Democrat House Yea
Jay Richardson Democrat House Yea
Jim Wooten Republican House Yea
Denise Ennett Democrat House Yea
Richard McGrew Republican House Yea
Joy Springer Democrat House Yea
Howard Beaty Republican House Yea
Tony Furman Republican House Yea
Kendon Underwood Republican House Yea
David Ray Republican House Yea
John Carr Republican House Yea
Rick McClure Republican House Yea
Keith Brooks Republican House Yea
Ashley Hudson Democrat House Yea
Jon Milligan Republican House Yea
RJ Hawk Republican House Yea
Wade Andrews Republican House Yea
Rebecca Burkes Republican House Yea
Hope Duke Republican House Yea
Zack Gramlich Republican House Yea
Mindy McAlindon Republican House Yea
Matt Duffield Republican House Yea
Stetson Painter Republican House Nay
Steve Unger Republican House Yea
Wayne Long Republican House Yea
Scott Richardson Republican House Yea
Brandon Achor Republican House Yea
Jeremiah Moore Republican House Yea
Joey Carr Republican House Yea
Matt Brown Republican House Yea
Shad Pearce Republican House Yea
Chad Puryear Republican House Yea
Ryan Rose Republican House Yea
Bart Schulz Republican House Yea
Trey Steimel Republican House Yea
Tara Shephard Democrat House NV
Jeremy Wooldridge Republican House Yea
Kendra Moore Republican House Yea
Brit McKenzie Republican House Nay
Steven Walker Republican House Nay
Glenn Barnes Democrat House Yea
Lincoln Barnett Democrat House Yea
Alyssa Brown Republican House Yea
Nick Burkes Republican House Yea
Paul Childress Republican House Yea
James Eaton Republican House Yea
Brad Hall Republican House Yea
Dolly Henley Republican House Yea
Jessie McGruder Democrat House Yea
Jason Nazarenko Republican House Nay
Randy Torres Republican House Yea
Diana Gonzales Worthen Democrat House Yea
Read Full Bill on arkleg.state.ar.us