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MA H1305
Bill
Status
2/27/2025
Primary Sponsor
Daniel Ryan
Click for details
AI Summary
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Requires health insurance policies with prescription drug coverage to permit partial medication supplies and apply pro-rated daily cost-sharing when a prescriber or pharmacist determines it is in the patient's best interest for medication synchronization purposes
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Prohibits insurers from denying coverage for partial prescription fills when done for medication synchronization and when the patient requests or agrees to the partial supply
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Mandates that health plans allow pharmacies to override "refilled too soon" denial codes for medication synchronization purposes
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Requires dispensing fees for partial prescriptions to be paid in full to pharmacies, prohibiting pro-rated dispensing fee structures regardless of the patient's pro-rated copay
Legislative Description
To help patients and reduce health care costs by ensuring patient adherence to medications
Last Action
Accompanied a new draft, see H4496
9/18/2025