State Policy · KS
Kansas Pharmacist Reports Revenue Loss Under New PBM Transparency Law
Kansas pharmacist Will Anderson reports his Lawrence pharmacy is losing revenue following implementation of Senate Bill 20, which took effect in April 2026 after passage in March. The law bans spread pricing by pharmacy benefit managers, sets a floor for pharmacy reimbursement, and requires transparent reimbursement formulas based on actual drug acquisition costs plus dispensing fees. Anderson, who advocated for the law, expects the revenue loss to reverse as the industry adapts and says similar reforms in other states generated significant Medicaid savings — Ohio eliminated spread pricing and saved over $224 million in one year.
Why it mattersStates considering PBM reform can expect disruption to pharmacy reimbursement during implementation, but Ohio's experience suggests substantial Medicaid savings from ending spread pricing once reforms take effect.