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MA S694

Bill

Status

Introduced

2/27/2025

Primary Sponsor

Brendan Crighton

Click for details

Origin

Senate

194th General Court

AI Summary

  • 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

  • Mandates insurers post searchable formularies on their websites and update them within 72 hours of any changes

  • Requires disclosure of prior authorization, step therapy, and utilization management requirements for each drug on the formulary

  • 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)

  • 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

Committee Referrals

Health Care Financing12/11/2025
Financial Services2/27/2025

Full Bill Text

No bill text available