Each week, Crowell & Moring’s State Attorneys General team highlights significant actions that State AGs have taken. See our State Attorneys General page for more insights. Below are the updates from April 30-May 7, 2026:

Multistate

• A bipartisan coalition of 45 state attorneys general submitted a letter to the U.S. Department of Labor urging the agency to impose new transparency requirements on pharmacy benefit managers (PBMs) — third-party intermediaries that administer prescription drug benefits on behalf of insurers and exercise control over which drugs are covered and how much they cost for nearly all Americans with health insurance. The coalition called on the Labor Department to mandate that PBMs disclose how they generate revenue on a biannual basis and to allow employers that fund health insurance plans to conduct independent audits of PBM operations. The attorneys general also urged the Department to clarify that any new federal transparency rule would not preempt existing state PBM regulations under the Employee Retirement Income Security Act of 1974 (ERISA) — a federal statute that PBMs have previously invoked in efforts to avoid state oversight.