Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H763 Compare Versions

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22 HOUSE DOCKET, NO. 3233 FILED ON: 1/16/2025
33 HOUSE . . . . . . . . . . . . . . . No. 763
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 Marjorie C. Decker
88 _________________
99 To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
1010 Court assembled:
1111 The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
1212 An Act relative to assessing the feasibility of in-state drug manufacturing.
1313 _______________
1414 PETITION OF:
1515 NAME:DISTRICT/ADDRESS :DATE ADDED:Marjorie C. Decker25th Middlesex1/16/2025 1 of 4
1616 HOUSE DOCKET, NO. 3233 FILED ON: 1/16/2025
1717 HOUSE . . . . . . . . . . . . . . . No. 763
1818 By Representative Decker of Cambridge, a petition (accompanied by bill, House, No. 763) of
1919 Marjorie C. Decker for an investigation by a special commission (including members of the
2020 General Court) relative to the feasibility of state-sponsored prescription drug manufacturing or
2121 distribution in the Commonwealth. Elder Affairs.
2222 The Commonwealth of Massachusetts
2323 _______________
2424 In the One Hundred and Ninety-Fourth General Court
2525 (2025-2026)
2626 _______________
2727 An Act relative to assessing the feasibility of in-state drug manufacturing.
2828 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
2929 of the same, as follows:
3030 1 SECTION 1. (a) Notwithstanding any special or general law to the contrary, there shall
3131 2be a special commission to investigate and assess the feasibility of state-sponsored prescription
3232 3drug manufacturing or distribution in the commonwealth. The special commission shall consist
3333 4of: the secretary of health and human services or a designee, who shall serve as chair; the
3434 5commissioner of insurance or a designee; the executive director of the center for health
3535 6information and analysis or a designee; the executive director of the health policy commission or
3636 7a designee; the president of the board of registration in pharmacy or a designee; the president of
3737 8the University of Massachusetts or a designee; and 11 persons selected by the chair, 1 of whom
3838 9shall be a representative of the Massachusetts Biotechnology Council, Inc., 1 of whom shall be a
3939 10representative of the Massachusetts Health and Hospital Association, Inc., 1 of whom shall be a
4040 11representative of the Massachusetts Medical Society, 1 of whom shall be a representative of a
4141 12patient advocacy organization, 1 of whom shall be a representative of an advocacy organization 2 of 4
4242 13representing patients with lack of access to pharmaceutical products, including but not limited to,
4343 14insulin, naloxone, albuterol inhalers and epinephrine, 1 of whom shall be a representative of a
4444 15representative of the office of pharmaceutical policy and analysis established under the section 3
4545 16of chapter 342 of the acts of 2024, 1 of whom shall be an individual with expertise in biomedical
4646 17research, 1 of whom shall be a physician licensed to practice medicine under section 2 of chapter
4747 18112 of the General Laws with expertise in the treatment of diabetes and related complications, 1
4848 19of whom shall be a physician licensed under said section 2 of said chapter 112 with expertise in
4949 20the treatment of substance use disorders and related complications, 1 of whom shall be a
5050 21physician licensed under said section 2 of said chapter 112 with expertise in the treatment of
5151 22allergic reactions and related complications and 1 of whom shall be a physician licensed under
5252 23said section 2 of said chapter 112 with expertise in the treatment of asthma and related
5353 24complications.
5454 25 (b) The special commission shall study and report on the feasibility of state-sponsored
5555 26drug manufacturing or distribution in the commonwealth. The special commission shall: (i) study
5656 27the feasibility of manufacturing commonly used pharmaceutical products and their analogs,
5757 28including but not limited to insulin, naloxone, albuterol inhalers and epinephrine; (ii) assess the
5858 29feasibility of providing the drug and drug analogs to low-income residents of the commonwealth
5959 30at no-cost or at a reduced cost on a means-tested basis; (iii) assess the feasibility of partnerships
6060 31between the commonwealth and other entities, including but not limited to, public universities
6161 32and existing drug manufacturers, or partnerships between other appropriate entities and an
6262 33existing drug manufacturer to leverage existing research and manufacturing capacity; (iv)
6363 34analyze if establishing a state-sponsored drug manufacturing program of commonly used
6464 35pharmaceutical products and their analogs, including but not limited, to the drugs listed in clause 3 of 4
6565 36(i) of subsection (b), would lower prescription drug prices for public and private purchasers and
6666 37consumers (v) study the example of other states that have initiated state-sponsored drug
6767 38manufacturing and distribution initiatives; and (vi) issue a report on the commission’s findings
6868 39and policy recommendations.
6969 40 (c) In its assessment, the commission shall consider the following factors: (i) the number
7070 41of low-income residents who currently require the drugs listed in clause (i) of subsection (b); (ii)
7171 42the ability of the commonwealth, the public university system or other appropriate entity, by
7272 43themselves or in partnership with existing drug manufacturers, to produce the drugs listed in
7373 44clause (i) of subsection (b); (iii) any long-term cost savings and revenue generation for the
7474 45commonwealth; (iv) any long-term cost savings and other benefits to low-income residents of the
7575 46commonwealth who would receive the drugs listed in clause (i) of subsection (b); (v) any costs to
7676 47the commonwealth to produce the drugs listed in clause (i) of subsection (b), including additional
7777 48administrative costs; (vi) state and federal regulatory or legal obstacles, including requirements
7878 49for licensure, to the production and distribution of the drugs listed in clause (i) of subsection (b)
7979 50within the commonwealth; (vii) available alternative methods for providing the drugs listed in
8080 51clause (i) of subsection (b) to low-income residents of the commonwealth at low or no cost; (viii)
8181 52options for capping copayments for the drugs listed in clause (i) of subsection (b) provided
8282 53through private insurers; (ix) the potential for state-sponsored manufacturing of the drugs listed
8383 54in clause (i) of subsection (b) to address drug shortages; (x) the potential for the commonwealth
8484 55to engage in volume purchasing of the drugs listed in clause (i) of subsection (b) at reduced cost;
8585 56(xi) the mechanisms by which the commonwealth could establish a program to distribute the
8686 57drugs listed in clause (i) of subsection (b) to residents of the commonwealth; (xii) opportunities
8787 58to establish an interstate compact with other New England states to reduce costs; (xiii) 4 of 4
8888 59opportunities to establish a public entity to manage the manufacturing, purchasing or distribution
8989 60of the drugs listed in clause (i) of subsection (b); (xiv) opportunities to establish a model facility
9090 61to affordably manufacture the drugs listed in clause (i) of subsection (b); and (xv) opportunities
9191 62to procure dedicated funding to support the manufacture and distribution of the drugs listed in
9292 63clause (i) of subsection (b) to residents of the commonwealth.
9393 64 (d) Not later than September 1, 2026, the commission shall submit its report to the clerks
9494 65of the senate and house of representatives, the joint committee on health care financing and the
9595 66joint committee on public health.