SB 252
Rehmet Bill Makes Pharmacy Benefit Managers Owe Patients Loyalty
Filed
Verdict: No flags
Initial review · graded Nov 9, 2026 · How we grade
Caption
relating to the fiduciary duty of a pharmacy benefit manager to individuals covered by a plan for which the pharmacy benefit manager administers pharmacy benefits.
Caption from analyzed text · version I.
Summary
Starting 2027, PBMs owe you a fiduciary duty. Disclose fees, no self-dealing.
The bill says a pharmacy benefit manager owes a fiduciary duty to each person covered by a plan whose drug benefits it runs. That duty includes acting loyally in the person's best interest, fully disclosing fees and commissions, avoiding self-dealing and conflicts, and being transparent about financial deals tied to the plan. Starting September 1, 2027, pharmacy benefit managers in Texas would owe these duties directly to covered patients, not just to the plans that hire them.
Receipt
The receipt
90R-SB252 · 2026-11-09
SOLD BY
ITEM
relating to the fiduciary duty of a pharmacy benefit manager to individuals covered by a plan for which the pharmacy benefit manager administers pharmacy benefits.
WHAT IT DOES
Starting 2027, PBMs owe you a fiduciary duty. Disclose fees, no self-dealing.
The bill says a pharmacy benefit manager owes a fiduciary duty to each person covered by a plan whose drug benefits it runs. That duty includes acting loyally in the person's best interest, fully disclosing fees and commissions, avoiding self-dealing and conflicts, and being transparent about financial deals tied to the plan. Starting September 1, 2027, pharmacy benefit managers in Texas would owe these duties directly to covered patients, not just to the plans that hire them.
CHARGES
[ ] NONE FOUND
TOTAL
No fiscal note in the loaded record.
HISTORY
- Received by the Secretary of the Senate
- Filed
FILED UNDER
No verified beat found.
THANK YOU FOR CHECKING THE RECEIPT
CAMPAIGN PAID FOR BY
CAMPAIGN PAID FOR BY
Donors
Not tied to this bill.
Sources
The author's campaign account only. Own money and internal transfers are separate on the member page.
Derived itemized flow · Jun 9, 2025 to Oct 24, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Texas Majority PAC$267,218.00
Texas Majority PAC
$267,218.00
- Cash
- $0.00
- Paid by others
- $267,218.00
- Total
- $267,218.00
Also funds 2 other sitting lawmakers.
Derived recipient stock · Sep 2, 2025 to Oct 19, 2026. State data as of Nov 4, 2026.
TEC account match.
Sources
Derived itemized flow · Sep 2, 2025 to Feb 22, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101018487, 101034436, 101062455.
Texas Trial Lawyers Association PAC$80,000.00
Texas Trial Lawyers Association PAC
$80,000.00
- Cash
- $80,000.00
- Paid by others
- $0.00
- Total
- $80,000.00
Also funds 137 other sitting lawmakers.
Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamSources
Derived itemized flow · Feb 19, 2026 to Oct 13, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101062455, 101072804.
Missing data does not establish zero giving. Display amounts are rounded.
Texas Majority PAC
$267,218.00
- Cash
- $0.00
- Paid by others
- $267,218.00
- Total
- $267,218.00
Also funds 2 other sitting lawmakers.
Derived recipient stock · Sep 2, 2025 to Oct 19, 2026. State data as of Nov 4, 2026.
TEC account match.
Sources
Derived itemized flow · Sep 2, 2025 to Feb 22, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101018487, 101034436, 101062455.
Texas Trial Lawyers Association PAC
$80,000.00
- Cash
- $80,000.00
- Paid by others
- $0.00
- Total
- $80,000.00
Also funds 137 other sitting lawmakers.
Derived recipient stock · Jul 24, 2024 to Oct 23, 2026. State data as of Nov 4, 2026.
TEC account match.
TeamSources
Derived itemized flow · Feb 19, 2026 to Oct 13, 2026. State data as of Nov 4, 2026.
Derived itemized contributions on live regular reports and uncovered special-session dates. Internal account transfers and daily reports are excluded.
Report IDs: 101062455, 101072804.
Votes
No floor vote loaded for this bill.
Fiscal
No fiscal note in the loaded record.
How this was graded
Analysis of text version I by a super-expensive superintelligence, Nov 9, 2026, against the published rubric.
Sources
Texas Senate · Filed Nov 9, 2026
11/09/2026 S Filed
Texas Legislature Online · Introduced
Data snapshot Nov 10, 2026 at 2:41 AM CST. Grades, charges, quotes and corrections follow the published record.
Subjects
Insurance--Health & Accident
PHARMACIES & PHARMACISTS
PHARMACY BENEFIT MANAGERS
Text
The text as introduced · 164 words
90R4407 SCL-D By: Rehmet S.B. No. 252 A BILL TO BE ENTITLED AN ACT relating to the fiduciary duty of a pharmacy benefit manager to individuals covered by a plan for which the pharmacy benefit manager administers pharmacy benefits. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Subchapter D, Chapter 4151, Insurance Code, is amended by adding Section 4151.1515 to read as follows: Sec. 4151.1515. FIDUCIARY DUTY TO COVERED INDIVIDUALS. A pharmacy benefit manager of a plan that provides pharmacy benefits has a fiduciary duty to an individual covered by the plan. The fiduciary duty includes a duty to: (1) act with loyalty and care in the best interests of the individual; (2) ensure that all fees, costs, and commissions are reasonably and fully disclosed; (3) avoid self-dealing and conflicts of interest; and (4) maintain transparency in all financial and contractual arrangements related to the plan, including prescription drug benefits. SECTION 2. This Act takes effect September 1, 2027.