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MA H1313
Bill
Status
2/27/2025
Primary Sponsor
Lindsay Sabadosa
Click for details
AI Summary
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Prohibits health insurers from requiring patients to use insurer-selected pharmacies for clinician-administered drugs (injectable/infusible medications given in medical settings)
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Bars insurers from imposing higher copays, coinsurance, or additional fees when patients obtain clinician-administered drugs from their chosen provider or pharmacy
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Prevents insurers from steering patients through financial incentives or refusing to pay providers who obtain medications from non-network pharmacies
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Prohibits requiring specialty pharmacies to dispense medications directly to patients for transport to healthcare providers
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Allows but does not mandate insurers to offer home infusion pharmacy services or external infusion sites as alternatives
Legislative Description
Relating to patient choice in dispensing of clinician-administered drugs
Last Action
Accompanied a new draft, see H4956
1/28/2026