California Targets Drug Price Middlemen After Congress Balks

July 8, 2025, 9:01 AM UTC

California lawmakers are keeping up the pressure on drug price middlemen after Congress dropped provisions tightening rules on the industry from President Donald Trump’s tax-and-spending bill.

The state Assembly Health Committee is expected to approve Tuesday a measure that would prohibit a range of business practices used by pharmacy benefit managers, which legislators contend are driving up drug prices and running independent pharmacies out of business. Just a few PBMs—CVS Caremark, Cigna Corp.’s Express Scripts, and UnitedHealth Group Inc.’s OptumRx—control the vast majority of the $600 billion market across the US.

The bill (SB 41), ...

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