Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H1202

Introduced
2/27/25  

Caption

Establishing a commission to study maximum allowable costs lists

Impact

If enacted, the commission will investigate current practices regarding MAC lists, including how they are determined and their impacts on healthcare costs. The exploration into standardization of MAC lists could lead to more transparency in pricing and reimbursement processes within the healthcare system. The bill underscores the necessity for a robust examination of how these practices affect access to necessary medications, particularly for vulnerable populations. The commission is expected to submit its findings within 180 days of the passage of the act.

Summary

House Bill 1202 aims to establish a special commission focused on studying the implementation and implications of maximum allowable costs (MAC) lists utilized by insurance payers and pharmaceutical benefit managers in Massachusetts. The bill highlights the growing concerns surrounding the costs associated with prescription drugs and aims to address the financial implications these costs have on both healthcare providers and patients. This commission will be comprised of varied stakeholders, including representatives from the health sector, pharmaceutical industry advocates, and state legislators, indicating a comprehensive approach to this complex issue.

Contention

Although the intent behind HB 1202 is to increase transparency and potentially improve the affordability of prescription drugs, there may be contention surrounding the bill's implications. Stakeholders in the pharmaceutical industry may express concerns about standardization efforts, arguing it could limit profit margins or lead to increasing costs passed onto consumers. Moreover, discussions on healthcare policies often see varied opinions between insurers and providers, which could create friction as the commission begins its investigations. Addressing these different viewpoints will be crucial in the legislative process.

Companion Bills

No companion bills found.

Previously Filed As

MA H1056

Establishing a commission to study maximum allowable costs lists

MA H1053

Establishing a commission to study the promotion of preferred pharmacy networks

MA H833

Establishing the commission on extended producer responsibility

MA H2202

Establishing a commission to study the encouragement of organ donation

MA H1206

Establishing a commission to review contracts between pharmaceutical benefit managers and MassHealth

MA H413

Establishing a commission to study the financial relationship between Massachusetts entities and companies owned by the Chinese government

MA H1344

Establishing an affordable housing qualification commission

MA H4753

Relative to establishing a commission to study the feasibility of joining the counseling compact

MA H1271

Relative to establishing institutional public private partnerships

MA H632

Establishing a commission to study the financial abuse of elders

Similar Bills

No similar bills found.