PBM Regulatory Support Services

The Kansas Department of Insurance is requesting competitive proposals for comprehensive regulatory support services for Pharmacy Benefit Managers and health plans under the Kansas Consumer Prescription Protection and Accountability Act, with proposals due November 19, 2026, and a contract term running through December 31, 2031.

The scope comprises quarterly collection, processing, analysis, and reporting of PBM reimbursement data; annual collection and analysis of PBM and health plan data; drafting of an annual PBM report; secure data acquisition, transmission, storage, and processing; and training, consultation, and technical assistance for Department staff on PBM regulation, compliance, and enforcement. Key implementation deadlines include project kick-off within two weeks of award, secure data submission system establishment within 30 calendar days, quarterly reports within 30 days of complete data receipt, and annual reports within 45 days of complete data receipt.

Bidders must demonstrate a minimum of five to eight years of PBM and health plan experience and include personnel holding a Certified Insurance Examiner designation and a licensed pharmacist. Documentation of satisfactory completion of at least three similar consulting engagements with other state insurance departments is required.

Pricing submission must include separate hourly rates for consultation and training services and fixed annual rates for software licensing, quarterly data processing (for up to 80 licensed PBMs), and annual reporting services, with rates specified for each contract year. Payment terms are Net 30 days. Liquidated damages for failure to meet performance deadlines range from $100 to $500 per day depending on the requirement, with annual assessments capped at 10 percent of annual contract value.

Bidders claiming eligibility under Kansas bidder preference programs (Disabled Veteran Owned Business or Certified Business categories) must provide supporting documentation. A current Tax Clearance Certificate from the Kansas Department of Revenue must accompany bid responses. Written questions are due by close of business October 28, 2026, directed to Procurement Officer Lily Lundy. Bidders must obtain official invitations at least 24 hours before the closing date. The State reserves the right to accept or reject any or all bid responses and conduct background checks prior to award.