Massachusetts 2023-2024 Regular Session

Massachusetts House Bill H1056 Compare Versions

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22 HOUSE DOCKET, NO. 1975 FILED ON: 1/19/2023
33 HOUSE . . . . . . . . . . . . . . . No. 1056
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 Bradley H. Jones, Jr.
88 _________________
99 To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
1010 Court assembled:
1111 The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
1212 An Act establishing a commission to study maximum allowable costs lists.
1313 _______________
1414 PETITION OF:
1515 NAME:DISTRICT/ADDRESS :DATE ADDED:Bradley H. Jones, Jr.20th Middlesex1/17/2023Kelly W. Pease4th Hampden1/25/2023Nicholas A. Boldyga3rd Hampden1/26/2023F. Jay Barrows1st Bristol1/26/2023Angelo L. D'Emilia8th Plymouth1/29/2023Hannah Kane11th Worcester1/30/2023Kimberly N. Ferguson1st Worcester2/1/2023 1 of 2
1616 HOUSE DOCKET, NO. 1975 FILED ON: 1/19/2023
1717 HOUSE . . . . . . . . . . . . . . . No. 1056
1818 By Representative Jones of North Reading, a petition (accompanied by bill, House, No. 1056) of
1919 Bradley H. Jones, Jr. and others for an investigation by a special commission (including
2020 members of the General Court) relative to maximum allowable costs lists utilized by payers and
2121 pharmaceutical benefit managers to identify the maximum amount health plans will pay for
2222 certain prescription drugs. Financial Services.
2323 [SIMILAR MATTER FILED IN PREVIOUS SESSION
2424 SEE HOUSE, NO. 1121 OF 2021-2022.]
2525 The Commonwealth of Massachusetts
2626 _______________
2727 In the One Hundred and Ninety-Third General Court
2828 (2023-2024)
2929 _______________
3030 An Act establishing a commission to study maximum allowable costs lists.
3131 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
3232 of the same, as follows:
3333 1 SECTION 1. Notwithstanding any general or special law to the contrary, there shall be a
3434 2special commission established to investigate the use of maximum allowable costs lists, utilized
3535 3by payers and pharmaceutical benefit managers to identify the maximum amount that a plan will
3636 4pay for various prescription drugs. The commission’s review shall include, but not be limited to,
3737 5current practices surrounding the determination and use of maximum allowable costs lists and
3838 6their financial implications; industry-wide standardization for the development and use of
3939 7maximum allowable costs lists; and transparency into the processes of developing and utilizing
4040 8maximum allowable costs lists. 2 of 2
4141 9 The commission shall consist of 10 members: the secretary of health and human services,
4242 10or a designee; the speaker of the house of representatives, or a designee; the senate president, or
4343 11a designee; the minority leader of the house of representatives, or a designee; the minority leader
4444 12of the senate, or a designee; a representative from the Massachusetts Association of Health
4545 13Plans; a representative from the Massachusetts Pharmacists Association; one person who shall be
4646 14an advocate for health care providers, to be appointed by the governor; one person who shall be
4747 15an advocate for pharmaceutical companies, to be appointed by the governor; and one person who
4848 16shall be an advocate for pharmaceutical benefit managers, to be appointed by the governor.
4949 17 The commission shall submit its report and findings, along with any draft of legislation,
5050 18to the house and senate committees on ways and means, the joint committee on health care
5151 19financing, and the clerks of the house of representatives and the senate within 180 days of the
5252 20passage of this act.