2025 Provider Status End-of-Year Legislative Update

Updated April 2026

Two hundred forty-four bills pertaining to pharmacist scope of practice and payment for pharmacist-provided patient care services were introduced in 49 states during the 2025 legislative session. This represents a slight increase in the number of bills introduced compared to 2024. Many of these bills focused on important topics like payment for services, vaccination authority, test and treat services, and HIV prevention.

41 bills and several final rules were successfully enacted in 23 states and the District of Columbia due to the incredible efforts of the state pharmacy associations. Despite the need to invest significant time and resources advancing PBM reform legislation, state associations were still able to use their incredible influence to invest in the future of pharmacy practice by ensuring that pharmacists are authorized and paid to provide valuable patient care services via provider status legislation.

While these legislative victories represent significant progress in expanding pharmacist scope of practice and securing payment for pharmacist-provided services, it’s important to recognize that this is only a fraction of the legislative work undertaken by state pharmacy associations. Beyond payment and scope and PBM reform, state pharmacy associations engage in a wide range of advocacy efforts to advance the profession and improve patient care. These efforts include tackling issues such as drug pricing transparency, patient access to medications, regulatory compliance, and broader public health initiatives. The work of state pharmacy associations is multifaceted, encompassing a comprehensive approach to enhancing pharmacy practice at all levels.

Interested in supporting these efforts? We strongly encourage interested partners to reach out to the state associations to support these advocacy efforts through sponsorships, exhibiting, and other collaborative opportunities.

The National Alliance of State Pharmacy Associations presents this year in review document summarizes the legislative and regulatory activity in the following categories:

  • Payment for services
  • Standard of care
  • Vaccines
  • Test and treat
  • Contraceptives
  • HIV prevention
  • Collaborative practice agreements
  • Medication administration
  • Opioid use disorder
  • Prescription Adaptation
  • Pharmacy technicians

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