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2 | 2 | | HOUSE DOCKET, NO. 1975 FILED ON: 1/19/2023 |
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3 | 3 | | HOUSE . . . . . . . . . . . . . . . No. 1056 |
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4 | 4 | | The Commonwealth of Massachusetts |
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5 | 5 | | _________________ |
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6 | 6 | | PRESENTED BY: |
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7 | 7 | | Bradley H. Jones, Jr. |
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8 | 8 | | _________________ |
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9 | 9 | | To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General |
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10 | 10 | | Court assembled: |
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11 | 11 | | The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: |
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12 | 12 | | An Act establishing a commission to study maximum allowable costs lists. |
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13 | 13 | | _______________ |
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14 | 14 | | PETITION OF: |
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15 | 15 | | 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 |
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16 | 16 | | HOUSE DOCKET, NO. 1975 FILED ON: 1/19/2023 |
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17 | 17 | | HOUSE . . . . . . . . . . . . . . . No. 1056 |
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18 | 18 | | By Representative Jones of North Reading, a petition (accompanied by bill, House, No. 1056) of |
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19 | 19 | | Bradley H. Jones, Jr. and others for an investigation by a special commission (including |
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20 | 20 | | members of the General Court) relative to maximum allowable costs lists utilized by payers and |
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21 | 21 | | pharmaceutical benefit managers to identify the maximum amount health plans will pay for |
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22 | 22 | | certain prescription drugs. Financial Services. |
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23 | 23 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
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24 | 24 | | SEE HOUSE, NO. 1121 OF 2021-2022.] |
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25 | 25 | | The Commonwealth of Massachusetts |
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26 | 26 | | _______________ |
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27 | 27 | | In the One Hundred and Ninety-Third General Court |
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28 | 28 | | (2023-2024) |
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29 | 29 | | _______________ |
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30 | 30 | | An Act establishing a commission to study maximum allowable costs lists. |
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31 | 31 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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32 | 32 | | of the same, as follows: |
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33 | 33 | | 1 SECTION 1. Notwithstanding any general or special law to the contrary, there shall be a |
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34 | 34 | | 2special commission established to investigate the use of maximum allowable costs lists, utilized |
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35 | 35 | | 3by payers and pharmaceutical benefit managers to identify the maximum amount that a plan will |
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36 | 36 | | 4pay for various prescription drugs. The commission’s review shall include, but not be limited to, |
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37 | 37 | | 5current practices surrounding the determination and use of maximum allowable costs lists and |
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38 | 38 | | 6their financial implications; industry-wide standardization for the development and use of |
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39 | 39 | | 7maximum allowable costs lists; and transparency into the processes of developing and utilizing |
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40 | 40 | | 8maximum allowable costs lists. 2 of 2 |
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41 | 41 | | 9 The commission shall consist of 10 members: the secretary of health and human services, |
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42 | 42 | | 10or a designee; the speaker of the house of representatives, or a designee; the senate president, or |
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43 | 43 | | 11a designee; the minority leader of the house of representatives, or a designee; the minority leader |
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44 | 44 | | 12of the senate, or a designee; a representative from the Massachusetts Association of Health |
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45 | 45 | | 13Plans; a representative from the Massachusetts Pharmacists Association; one person who shall be |
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46 | 46 | | 14an advocate for health care providers, to be appointed by the governor; one person who shall be |
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47 | 47 | | 15an advocate for pharmaceutical companies, to be appointed by the governor; and one person who |
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48 | 48 | | 16shall be an advocate for pharmaceutical benefit managers, to be appointed by the governor. |
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49 | 49 | | 17 The commission shall submit its report and findings, along with any draft of legislation, |
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50 | 50 | | 18to the house and senate committees on ways and means, the joint committee on health care |
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51 | 51 | | 19financing, and the clerks of the house of representatives and the senate within 180 days of the |
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52 | 52 | | 20passage of this act. |
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