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| 2 | 2 | | SENATE DOCKET, NO. 285 FILED ON: 1/12/2023 |
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| 3 | 3 | | SENATE . . . . . . . . . . . . . . No. 670 |
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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 | | Joan B. Lovely |
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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 to help patients and reduce healthcare costs by ensuring patient adherence to |
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| 13 | 13 | | medications. |
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| 14 | 14 | | _______________ |
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| 15 | 15 | | PETITION OF: |
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| 16 | 16 | | NAME:DISTRICT/ADDRESS :Joan B. LovelySecond Essex 1 of 2 |
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| 17 | 17 | | SENATE DOCKET, NO. 285 FILED ON: 1/12/2023 |
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| 18 | 18 | | SENATE . . . . . . . . . . . . . . No. 670 |
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| 19 | 19 | | By Ms. Lovely, a petition (accompanied by bill, Senate, No. 670) of Joan B. Lovely for |
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| 20 | 20 | | legislation relative to medication synchronization. Financial Services. |
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| 21 | 21 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
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| 22 | 22 | | SEE SENATE, NO. 696 OF 2021-2022.] |
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| 23 | 23 | | The Commonwealth of Massachusetts |
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| 24 | 24 | | _______________ |
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| 25 | 25 | | In the One Hundred and Ninety-Third General Court |
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| 26 | 26 | | (2023-2024) |
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| 27 | 27 | | _______________ |
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| 28 | 28 | | An Act to help patients and reduce healthcare costs by ensuring patient adherence to |
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| 29 | 29 | | medications. |
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| 30 | 30 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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| 31 | 31 | | of the same, as follows: |
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| 32 | 32 | | 1 An individual or group health insurance policy providing prescription drug coverage in |
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| 33 | 33 | | 2the state must permit and apply a pro-rated daily cost-sharing rate to prescriptions dispensed by a |
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| 34 | 34 | | 3network pharmacy for a partial supply if the prescriber or pharmacist determines the fill or refill |
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| 35 | 35 | | 4to be in the best interest of the patient and the patient requests or agrees to a partial supply for the |
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| 36 | 36 | | 5purpose of synchronizing the patient’s medications. |
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| 37 | 37 | | 6 No individual or group health insurance policy providing prescription drug coverage shall |
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| 38 | 38 | | 7deny coverage for the dispensing of a medication by a network pharmacy on the basis that the |
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| 39 | 39 | | 8dispensing is for a partial supply if the prescriber or pharmacist determines the fill or refill to be |
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| 40 | 40 | | 9in the best interest of the patient and the patient requests or agrees to a partial supply for the |
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| 41 | 41 | | 10purpose of synchronizing the patient’s medications. The individual or group health plan must 2 of 2 |
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| 42 | 42 | | 11allow a pharmacy to override any denial codes indicating that a prescription is being refilled too |
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| 43 | 43 | | 12soon for the purposes of medication synchronization. |
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| 44 | 44 | | 13 No individual or group health insurance policy providing prescription drug coverage shall |
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| 45 | 45 | | 14use payment structures incorporating pro-rated dispensing fees. Dispensing fees for partially |
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| 46 | 46 | | 15filled or refilled prescriptions shall be paid in full for each prescription dispensed regardless of |
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| 47 | 47 | | 16any pro-rated copay for the beneficiary or fee paid for alignment services. |
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