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MA H1364
Bill
Status
2/27/2025
Primary Sponsor
Carole Fiola
Click for details
AI Summary
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Requires health insurers and pharmacy benefit managers to pass at least 80% of estimated prescription drug rebates directly to patients at the point of sale, reducing out-of-pocket costs
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Repeals Sections 131 and 226 of Chapter 139 of the Acts of 2012
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Mandates annual compliance reports from carriers to the Division of Insurance by April 1, with fines up to $5,000 per day for noncompliance
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Protects rebate information as confidential trade secrets, prohibiting pharmacy benefit managers from publicly disclosing product-specific or manufacturer-specific rebate amounts
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Directs the Health Policy Commission and Executive Office of Health and Human Services to study cell and gene therapy access barriers for MassHealth patients, with a report due by July 30, 2028, covering the forecast period of 2027-2037
Legislative Description
Relative to promoting healthcare access and affordability for patients
Last Action
Bill reported favorably by committee and referred to the committee on House Ways and Means
9/18/2025