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MA H1305

Bill

Status

Introduced

2/27/2025

Primary Sponsor

Daniel Ryan

Click for details

Origin

House of Representatives

194th General Court

AI Summary

  • 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

  • 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

  • Mandates that health plans allow pharmacies to override "refilled too soon" denial codes for medication synchronization purposes

  • 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

Committee Referrals

Financial Services2/27/2025

Full Bill Text

No bill text available