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On March 3, the House Oversight Committee on Public Health and Food Security held a hearing on independent pharmacy closures in Michigan. The hearing made one thing unmistakably clear: There are numerous pressures facing community pharmacies, and PBMs are a central part of the problem.
Testimony underscored how pharmacists are stepping up to meet growing patient needs, yet continue to face:
- Unsustainable reimbursement practices driven by PBMs that undermine pharmacy viability
- Retroactive clawbacks and opaque payment models that destabilize operations and limit patient access
- Administrative hurdles that pull pharmacists away from direct patient care
- Gaps in care where pharmacists could expand clinical services if policy and reimbursement aligned
For MPA and our members, this hearing reinforces what we see every day: pharmacists are essential public health providers, but PBM practices continue to erode the very infrastructure patients rely on. Strengthening Michigan’s PBM regulations are required to allow for fair reimbursement and transparency.
Watch the full hearing here: Michigan House TV - PUBF-030326
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