Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H1325

Introduced
2/27/25  

Caption

To ensure access to generic medication

Note

Overall, the bill presents a commendable effort to enhance consumer protection in prescription drug access and pricing but may also spark significant dialogue among stakeholders in the healthcare system regarding the practical implications of its enforcement.

Impact

The implementation of H1325 will evidently modify how pharmacy benefits managers operate, demanding that they update their MAC lists frequently and ensure the prices are not below what local pharmacies acquire these drugs for. The significance of this bill lies in its enforcement of quicker adjustments to drug pricing whenever a drug fails to meet the outlined criteria. Additionally, it mandates greater accessibility to information for pharmacies regarding MAC determinations, a move that is likely to empower local entities in their dealings with PBMs. This change aims to produce a more equitable landscape for the distribution of medications.

Summary

House Bill H1325 aims to ensure access to generic medications for consumers in Massachusetts by regulating the practices of pharmacy benefits managers (PBMs). The bill introduces provisions that establish clear requirements for PBMs regarding the maximum allowable costs (MAC) for drugs, aiming to create transparency and fairness in drug pricing. Under this bill, a drug must be classified appropriately and have sufficient therapeutic equivalents before it can be listed on a MAC list. This measure is designed to prevent patients from being priced out of necessary medications, particularly generics that are crucial for cost-effective healthcare.

Contention

While supporters of H1325 argue that the bill will enhance access to affordable medications, some commentators may express concerns about the implementation burden placed on PBMs and the potential resistance from large pharmacy networks. Critics might highlight that the bill could create challenges in the relationship between PBMs and pharmacies, particularly if pharmacies feel overwhelmed by the administrative requirements imposed by the new regulations. The potential for litigation or disputes over MAC listings may also become a notable issue as this legislation unfolds, especially regarding the appeals process for pharmacies contesting pricing.

Companion Bills

No companion bills found.

Previously Filed As

MA H2967

Relative to employee retirement contributions

MA H2966

Relative to capping earning in retirement

MA H1054

Providing parks pass waiver for veterans

MA H2964

Providing for disability and death benefits for explosive device canine handlers and bomb technicians

MA H3883

Relative to disability benefits for veterans

MA H1992

Relative to body worn cameras

MA H1460

Relative to college tuition and admissions

MA H3782

To reduce the fee for motor vehicle veteran registration plates

Similar Bills

AR SB593

To Amend The Arkansas Pharmacy Benefits Manager Licensure Act; And To Create The Pharmacy Services Administrative Organization Act.

AR SB475

To Establish The Pharmacy Services Administrative Organization Act; And To Regulate Pharmacy Services Administrative Organizations.

AR SB544

To Amend The Arkansas Pharmacy Benefits Manager Licensure Act.

TX SB1176

Relating to the authority and rights of pharmacy services administrative organizations to conduct the business of independent pharmacies with respect to certain pharmacy benefits.

TX HB2479

Relating to the authority and rights of pharmacy services administrative organizations to conduct the business of independent pharmacies with respect to certain pharmacy benefits.

TX HB1763

Relating to the contractual relationship between a pharmacist or pharmacy and a health benefit plan issuer or pharmacy benefit manager.

TX HB1670

Relating to the contractual relationship between a pharmacist or pharmacy and a health benefit plan issuer or pharmacy benefit manager.

TX SB528

Relating to the contractual relationship between a pharmacist or pharmacy and a health benefit plan issuer or pharmacy benefit manager.