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2 | 2 | | HOUSE DOCKET, NO. 3233 FILED ON: 1/16/2025 |
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3 | 3 | | HOUSE . . . . . . . . . . . . . . . No. 763 |
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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 | | Marjorie C. Decker |
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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 relative to assessing the feasibility of in-state drug manufacturing. |
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13 | 13 | | _______________ |
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14 | 14 | | PETITION OF: |
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15 | 15 | | NAME:DISTRICT/ADDRESS :DATE ADDED:Marjorie C. Decker25th Middlesex1/16/2025 1 of 4 |
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16 | 16 | | HOUSE DOCKET, NO. 3233 FILED ON: 1/16/2025 |
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17 | 17 | | HOUSE . . . . . . . . . . . . . . . No. 763 |
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18 | 18 | | By Representative Decker of Cambridge, a petition (accompanied by bill, House, No. 763) of |
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19 | 19 | | Marjorie C. Decker for an investigation by a special commission (including members of the |
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20 | 20 | | General Court) relative to the feasibility of state-sponsored prescription drug manufacturing or |
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21 | 21 | | distribution in the Commonwealth. Elder Affairs. |
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22 | 22 | | The Commonwealth of Massachusetts |
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23 | 23 | | _______________ |
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24 | 24 | | In the One Hundred and Ninety-Fourth General Court |
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25 | 25 | | (2025-2026) |
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26 | 26 | | _______________ |
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27 | 27 | | An Act relative to assessing the feasibility of in-state drug manufacturing. |
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28 | 28 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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29 | 29 | | of the same, as follows: |
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30 | 30 | | 1 SECTION 1. (a) Notwithstanding any special or general law to the contrary, there shall |
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31 | 31 | | 2be a special commission to investigate and assess the feasibility of state-sponsored prescription |
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32 | 32 | | 3drug manufacturing or distribution in the commonwealth. The special commission shall consist |
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33 | 33 | | 4of: the secretary of health and human services or a designee, who shall serve as chair; the |
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34 | 34 | | 5commissioner of insurance or a designee; the executive director of the center for health |
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35 | 35 | | 6information and analysis or a designee; the executive director of the health policy commission or |
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36 | 36 | | 7a designee; the president of the board of registration in pharmacy or a designee; the president of |
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37 | 37 | | 8the University of Massachusetts or a designee; and 11 persons selected by the chair, 1 of whom |
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38 | 38 | | 9shall be a representative of the Massachusetts Biotechnology Council, Inc., 1 of whom shall be a |
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39 | 39 | | 10representative of the Massachusetts Health and Hospital Association, Inc., 1 of whom shall be a |
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40 | 40 | | 11representative of the Massachusetts Medical Society, 1 of whom shall be a representative of a |
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41 | 41 | | 12patient advocacy organization, 1 of whom shall be a representative of an advocacy organization 2 of 4 |
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42 | 42 | | 13representing patients with lack of access to pharmaceutical products, including but not limited to, |
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43 | 43 | | 14insulin, naloxone, albuterol inhalers and epinephrine, 1 of whom shall be a representative of a |
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44 | 44 | | 15representative of the office of pharmaceutical policy and analysis established under the section 3 |
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45 | 45 | | 16of chapter 342 of the acts of 2024, 1 of whom shall be an individual with expertise in biomedical |
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46 | 46 | | 17research, 1 of whom shall be a physician licensed to practice medicine under section 2 of chapter |
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47 | 47 | | 18112 of the General Laws with expertise in the treatment of diabetes and related complications, 1 |
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48 | 48 | | 19of whom shall be a physician licensed under said section 2 of said chapter 112 with expertise in |
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49 | 49 | | 20the treatment of substance use disorders and related complications, 1 of whom shall be a |
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50 | 50 | | 21physician licensed under said section 2 of said chapter 112 with expertise in the treatment of |
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51 | 51 | | 22allergic reactions and related complications and 1 of whom shall be a physician licensed under |
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52 | 52 | | 23said section 2 of said chapter 112 with expertise in the treatment of asthma and related |
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53 | 53 | | 24complications. |
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54 | 54 | | 25 (b) The special commission shall study and report on the feasibility of state-sponsored |
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55 | 55 | | 26drug manufacturing or distribution in the commonwealth. The special commission shall: (i) study |
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56 | 56 | | 27the feasibility of manufacturing commonly used pharmaceutical products and their analogs, |
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57 | 57 | | 28including but not limited to insulin, naloxone, albuterol inhalers and epinephrine; (ii) assess the |
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58 | 58 | | 29feasibility of providing the drug and drug analogs to low-income residents of the commonwealth |
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59 | 59 | | 30at no-cost or at a reduced cost on a means-tested basis; (iii) assess the feasibility of partnerships |
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60 | 60 | | 31between the commonwealth and other entities, including but not limited to, public universities |
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61 | 61 | | 32and existing drug manufacturers, or partnerships between other appropriate entities and an |
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62 | 62 | | 33existing drug manufacturer to leverage existing research and manufacturing capacity; (iv) |
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63 | 63 | | 34analyze if establishing a state-sponsored drug manufacturing program of commonly used |
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64 | 64 | | 35pharmaceutical products and their analogs, including but not limited, to the drugs listed in clause 3 of 4 |
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65 | 65 | | 36(i) of subsection (b), would lower prescription drug prices for public and private purchasers and |
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66 | 66 | | 37consumers (v) study the example of other states that have initiated state-sponsored drug |
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67 | 67 | | 38manufacturing and distribution initiatives; and (vi) issue a report on the commission’s findings |
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68 | 68 | | 39and policy recommendations. |
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69 | 69 | | 40 (c) In its assessment, the commission shall consider the following factors: (i) the number |
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70 | 70 | | 41of low-income residents who currently require the drugs listed in clause (i) of subsection (b); (ii) |
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71 | 71 | | 42the ability of the commonwealth, the public university system or other appropriate entity, by |
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72 | 72 | | 43themselves or in partnership with existing drug manufacturers, to produce the drugs listed in |
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73 | 73 | | 44clause (i) of subsection (b); (iii) any long-term cost savings and revenue generation for the |
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74 | 74 | | 45commonwealth; (iv) any long-term cost savings and other benefits to low-income residents of the |
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75 | 75 | | 46commonwealth who would receive the drugs listed in clause (i) of subsection (b); (v) any costs to |
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76 | 76 | | 47the commonwealth to produce the drugs listed in clause (i) of subsection (b), including additional |
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77 | 77 | | 48administrative costs; (vi) state and federal regulatory or legal obstacles, including requirements |
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78 | 78 | | 49for licensure, to the production and distribution of the drugs listed in clause (i) of subsection (b) |
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79 | 79 | | 50within the commonwealth; (vii) available alternative methods for providing the drugs listed in |
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80 | 80 | | 51clause (i) of subsection (b) to low-income residents of the commonwealth at low or no cost; (viii) |
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81 | 81 | | 52options for capping copayments for the drugs listed in clause (i) of subsection (b) provided |
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82 | 82 | | 53through private insurers; (ix) the potential for state-sponsored manufacturing of the drugs listed |
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83 | 83 | | 54in clause (i) of subsection (b) to address drug shortages; (x) the potential for the commonwealth |
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84 | 84 | | 55to engage in volume purchasing of the drugs listed in clause (i) of subsection (b) at reduced cost; |
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85 | 85 | | 56(xi) the mechanisms by which the commonwealth could establish a program to distribute the |
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86 | 86 | | 57drugs listed in clause (i) of subsection (b) to residents of the commonwealth; (xii) opportunities |
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87 | 87 | | 58to establish an interstate compact with other New England states to reduce costs; (xiii) 4 of 4 |
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88 | 88 | | 59opportunities to establish a public entity to manage the manufacturing, purchasing or distribution |
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89 | 89 | | 60of the drugs listed in clause (i) of subsection (b); (xiv) opportunities to establish a model facility |
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90 | 90 | | 61to affordably manufacture the drugs listed in clause (i) of subsection (b); and (xv) opportunities |
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91 | 91 | | 62to procure dedicated funding to support the manufacture and distribution of the drugs listed in |
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92 | 92 | | 63clause (i) of subsection (b) to residents of the commonwealth. |
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93 | 93 | | 64 (d) Not later than September 1, 2026, the commission shall submit its report to the clerks |
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94 | 94 | | 65of the senate and house of representatives, the joint committee on health care financing and the |
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95 | 95 | | 66joint committee on public health. |
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