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MA S694
Bill
Status
2/27/2025
Primary Sponsor
Brendan Crighton
Click for details
AI Summary
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Requires all health insurance plans in Massachusetts to disclose whether they use a formulary (list of covered prescription drugs) and explain how drugs are included or excluded
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Mandates insurers post searchable formularies on their websites and update them within 72 hours of any changes
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Requires disclosure of prior authorization, step therapy, and utilization management requirements for each drug on the formulary
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Obligates plans to show cost-sharing amounts for each drug, either as exact dollar amounts or using a tiered symbol system ($ for under $100 up to $$$$$ for over $1,000)
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Directs the Division of Insurance to develop a standard formulary template for all health plans, including those offered through the Group Insurance Commission for state employees
Legislative Description
Empowering health care consumers
Last Action
Accompanied a study order, see S2931
1/29/2026