1 of 1
HOUSE DOCKET, NO. 3872 FILED ON: 1/17/2025
HOUSE . . . . . . . . . . . . . . . No. 1305
The Commonwealth of Massachusetts
_________________
PRESENTED BY:
Daniel J. Ryan
_________________
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 health care costs by ensuring patient adherence to
medications.
_______________
PETITION OF:
NAME:DISTRICT/ADDRESS :DATE ADDED:Daniel J. Ryan2nd Suffolk1/17/2025 1 of 2
HOUSE DOCKET, NO. 3872 FILED ON: 1/17/2025
HOUSE . . . . . . . . . . . . . . . No. 1305
By Representative Ryan of Boston, a petition (accompanied by bill, House, No. 1305) of Daniel
J. Ryan relative to further regulating individual or group health insurance policies providing
prescription drug coverage. Financial Services.
[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE HOUSE, NO. 1135 OF 2023-2024.]
The Commonwealth of Massachusetts
_______________
In the One Hundred and Ninety-Fourth General Court
(2025-2026)
_______________
An Act to help patients and reduce health care 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 SECTION 1. An individual or group health insurance policy providing prescription drug
2coverage in the state must permit and apply a pro-rated daily cost-sharing rate to prescriptions
3that are dispensed by a network pharmacy for a partial supply if the prescriber or pharmacist
4determines the fill or refill to be in the best interest of the patient and the patient requests or
5agrees to a partial supply for the purpose 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 that is dispensed by a network pharmacy on the
8basis that the dispensing is for a partial supply if the prescriber or pharmacist determines the fill
9or refill to be in the best interest of the patient and the patient requests or agrees to a partial 2 of 2
10supply for the purpose of synchronizing the patient’s medications. The individual or group health
11plan must allow a pharmacy to override any denial codes indicating that a prescription is being
12refilled too soon 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.