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SENATE DOCKET, NO. 285 FILED ON: 1/12/2023
SENATE . . . . . . . . . . . . . . No. 670
The Commonwealth of Massachusetts
_________________
PRESENTED BY:
Joan B. Lovely
_________________
To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:
The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
An Act to help patients and reduce healthcare costs by ensuring patient adherence to
medications.
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PETITION OF:
NAME:DISTRICT/ADDRESS :Joan B. LovelySecond Essex 1 of 2
SENATE DOCKET, NO. 285 FILED ON: 1/12/2023
SENATE . . . . . . . . . . . . . . No. 670
By Ms. Lovely, a petition (accompanied by bill, Senate, No. 670) of Joan B. Lovely for
legislation relative to medication synchronization. Financial Services.
[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE SENATE, NO. 696 OF 2021-2022.]
The Commonwealth of Massachusetts
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In the One Hundred and Ninety-Third General Court
(2023-2024)
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An Act to help patients and reduce healthcare costs by ensuring patient adherence to
medications.
Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
of the same, as follows:
1 An individual or group health insurance policy providing prescription drug coverage in
2the state must permit and apply a pro-rated daily cost-sharing rate to prescriptions dispensed by a
3network pharmacy for a partial supply if the prescriber or pharmacist determines the fill or refill
4to be in the best interest of the patient and the patient requests or agrees to a partial supply for the
5purpose of synchronizing the patient’s medications.
6 No individual or group health insurance policy providing prescription drug coverage shall
7deny coverage for the dispensing of a medication by a network pharmacy on the basis that the
8dispensing is for a partial supply if the prescriber or pharmacist determines the fill or refill to be
9in the best interest of the patient and the patient requests or agrees to a partial supply for the
10purpose of synchronizing the patient’s medications. The individual or group health plan must 2 of 2
11allow a pharmacy to override any denial codes indicating that a prescription is being refilled too
12soon for the purposes of medication synchronization.
13 No individual or group health insurance policy providing prescription drug coverage shall
14use payment structures incorporating pro-rated dispensing fees. Dispensing fees for partially
15filled or refilled prescriptions shall be paid in full for each prescription dispensed regardless of
16any pro-rated copay for the beneficiary or fee paid for alignment services.