1 | 1 | | 1 of 1 |
---|
2 | 2 | | SENATE DOCKET, NO. 1435 FILED ON: 1/16/2025 |
---|
3 | 3 | | SENATE . . . . . . . . . . . . . . No. 1583 |
---|
4 | 4 | | The Commonwealth of Massachusetts |
---|
5 | 5 | | _________________ |
---|
6 | 6 | | PRESENTED BY: |
---|
7 | 7 | | Mark C. Montigny |
---|
8 | 8 | | _________________ |
---|
9 | 9 | | To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General |
---|
10 | 10 | | Court assembled: |
---|
11 | 11 | | The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: |
---|
12 | 12 | | An Act to restore integrity in the marketing of pharmaceutical products and medical devices. |
---|
13 | 13 | | _______________ |
---|
14 | 14 | | PETITION OF: |
---|
15 | 15 | | NAME:DISTRICT/ADDRESS :Mark C. MontignySecond Bristol and Plymouth 1 of 7 |
---|
16 | 16 | | SENATE DOCKET, NO. 1435 FILED ON: 1/16/2025 |
---|
17 | 17 | | SENATE . . . . . . . . . . . . . . No. 1583 |
---|
18 | 18 | | By Mr. Montigny, a petition (accompanied by bill, Senate, No. 1583) of Mark C. Montigny for |
---|
19 | 19 | | legislation to restore integrity in the marketing of pharmaceutical products and medical devices. |
---|
20 | 20 | | Public Health. |
---|
21 | 21 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
---|
22 | 22 | | SEE SENATE, NO. 1418 OF 2023-2024.] |
---|
23 | 23 | | The Commonwealth of Massachusetts |
---|
24 | 24 | | _______________ |
---|
25 | 25 | | In the One Hundred and Ninety-Fourth General Court |
---|
26 | 26 | | (2025-2026) |
---|
27 | 27 | | _______________ |
---|
28 | 28 | | An Act to restore integrity in the marketing of pharmaceutical products and medical devices. |
---|
29 | 29 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
---|
30 | 30 | | of the same, as follows: |
---|
31 | 31 | | 1 SECTION 1. Chapter 111N of the General Laws, as appearing in the 2022 Official |
---|
32 | 32 | | 2Edition, is hereby amended by striking sections 1 through 7 in their entirety and inserting in |
---|
33 | 33 | | 3place thereof the following: |
---|
34 | 34 | | 4 Section 1. As used in this chapter, the following words shall have the following |
---|
35 | 35 | | 5meanings:- |
---|
36 | 36 | | 6 “Department”, the department of public health. |
---|
37 | 37 | | 7 “Education program”, a medical school, teaching hospital, or teaching health center |
---|
38 | 38 | | 8licensed to operate in the commonwealth. 2 of 7 |
---|
39 | 39 | | 9 "Gift", a payment, entertainment, meals, travel, honorarium, subscription, advance, |
---|
40 | 40 | | 10services or anything of value, unless consideration of equal or greater value is received and there |
---|
41 | 41 | | 11is an explicit contract with specific deliverables which are not related to marketing and are |
---|
42 | 42 | | 12restricted to medical or scientific issues. “Gift" shall not include anything of value received by |
---|
43 | 43 | | 13inheritance, a gift received from a member of the health care practitioner’s immediate family or |
---|
44 | 44 | | 14from a relative within the third degree of consanguinity of the health care practitioner or of the |
---|
45 | 45 | | 15health care practitioner’s spouse or from the spouse of any such relative, or prescription drugs |
---|
46 | 46 | | 16provided to a health care practitioner solely and exclusively for use by the health care |
---|
47 | 47 | | 17practitioner’s patients. |
---|
48 | 48 | | 18 “Health care practitioner” or “practitioner,” a person who prescribes prescription drugs |
---|
49 | 49 | | 19for any person and is licensed to provide health care or a partnership or corporation made up of |
---|
50 | 50 | | 20those persons or an officer, employee, agent or contractor of that person acting in the course and |
---|
51 | 51 | | 21scope of employment, agency or contract related to or supportive of the provision of health care |
---|
52 | 52 | | 22to individuals. |
---|
53 | 53 | | 23 "Immediate family", a spouse and any dependent children residing in the reporting |
---|
54 | 54 | | 24person's household. |
---|
55 | 55 | | 25 “Medical device”, an instrument, apparatus, implement, machine, contrivance, implant, in |
---|
56 | 56 | | 26vitro reagent, or other similar or related article, including any component, part, or accessory, |
---|
57 | 57 | | 27which is: (1) recognized in the official National Formulary, or the United States Pharmacopeia, |
---|
58 | 58 | | 28or any supplement to them; (2) intended for use in the diagnosis of disease or other conditions, or |
---|
59 | 59 | | 29in the cure, mitigation, treatment, or prevention of disease, in man or other animals; or (3) |
---|
60 | 60 | | 30intended to affect the structure or any function of the body of man or other animals, and which 3 of 7 |
---|
61 | 61 | | 31does not achieve its primary intended purposes through chemical action within or on the body of |
---|
62 | 62 | | 32man or other animals and which is not dependent upon being metabolized for the achievement of |
---|
63 | 63 | | 33its primary intended purposes. |
---|
64 | 64 | | 34 "Person", a business, individual, corporation, union, association, firm, partnership, |
---|
65 | 65 | | 35committee, or other organization or group of persons. |
---|
66 | 66 | | 36 “Pharmaceutical or medical device manufacturer agent”, a pharmaceutical or medical |
---|
67 | 67 | | 37device marketer or any other person who for compensation or reward does any act to promote, |
---|
68 | 68 | | 38oppose or influence the prescribing of a particular prescription drug, medical device, or category |
---|
69 | 69 | | 39of prescription drugs or medical devices. The term shall not include a licensed pharmacist, |
---|
70 | 70 | | 40licensed physician or any other licensed health care practitioner with authority to prescribe |
---|
71 | 71 | | 41prescription drugs who is acting within the ordinary scope of the practice for which he is |
---|
72 | 72 | | 42licensed. |
---|
73 | 73 | | 43 “Pharmaceutical or medical device manufacturing company”, any entity that participates |
---|
74 | 74 | | 44in a commonwealth health care program and which is engaged in the production, preparation, |
---|
75 | 75 | | 45propagation, compounding, conversion or processing of prescription drugs or medical devices |
---|
76 | 76 | | 46either directly or indirectly by extraction from substances of natural origin, or independently by |
---|
77 | 77 | | 47means of chemical synthesis or by a combination of extraction and chemical synthesis, or any |
---|
78 | 78 | | 48entity engaged in the packaging, repackaging, labeling, relabeling or distribution of prescription |
---|
79 | 79 | | 49drugs. The term does not include a wholesale drug distributor licensed under section 36A of |
---|
80 | 80 | | 50chapter 112 or a retail pharmacist registered under section 37 of chapter 112. |
---|
81 | 81 | | 51 “Pharmaceutical or medical device marketer”, a person who, while employed by or under |
---|
82 | 82 | | 52contract to represent a pharmaceutical or, medical device manufacturing company that 4 of 7 |
---|
83 | 83 | | 53participates in a commonwealth health care program, engages in detailing, promotional activities |
---|
84 | 84 | | 54or other marketing of prescription drugs, or medical devices in the commonwealth to any |
---|
85 | 85 | | 55physician, hospital, nursing home, pharmacist, health benefit plan administrator, any other health |
---|
86 | 86 | | 56care practitioner or any other person authorized to prescribe, dispense, or purchase prescription |
---|
87 | 87 | | 57drugs. The term does not include a wholesale drug distributor licensed under section 36A of |
---|
88 | 88 | | 58chapter 112, a representative of such a distributor who promotes or otherwise markets the |
---|
89 | 89 | | 59services of the wholesale drug distributor in connection with a prescription drug, or a retail |
---|
90 | 90 | | 60pharmacist registered under section 38 of chapter 112 if such person is not engaging in such |
---|
91 | 91 | | 61practices under contract with a manufacturing company. |
---|
92 | 92 | | 62 “Physician”, a person licensed to practice medicine by the board of medicine under |
---|
93 | 93 | | 63section 2 of chapter 112 who prescribes prescription drugs for any person, or the physician’s |
---|
94 | 94 | | 64employees or agents. |
---|
95 | 95 | | 65 “Prescription drugs”, any and all drugs upon which the manufacturer or distributor has |
---|
96 | 96 | | 66placed or is required by federal law and regulations to place the following or a comparable |
---|
97 | 97 | | 67warning: “Caution federal law prohibits dispensing without prescription.” |
---|
98 | 98 | | 68 Section 2. No pharmaceutical or medical device manufacturer agent shall knowingly and |
---|
99 | 99 | | 69willfully offer or give to a health care practitioner, a member of a health care practitioner’s |
---|
100 | 100 | | 70immediate family, a health care practitioner’s employee or agent, a health care facility, an |
---|
101 | 101 | | 71employee or agent of a health care facility, an education program, or an employee or agent of an |
---|
102 | 102 | | 72education program a gift of any value. 5 of 7 |
---|
103 | 103 | | 73 Nothing in the section shall prohibit the provision, distribution, dissemination, or receipt |
---|
104 | 104 | | 74of peer reviewed academic, scientific or clinical information. Nothing in this section shall |
---|
105 | 105 | | 75prohibit the purchase of advertising in peer reviewed academic, scientific or clinical journals. |
---|
106 | 106 | | 76 Section 3. (a)(1) By July first of each year, every pharmaceutical or medical device |
---|
107 | 107 | | 77manufacturing company shall disclose to the department the value, nature, purpose, and recipient |
---|
108 | 108 | | 78of any fee, payment, subsidy, or other economic benefit not prohibited in section 2, which is |
---|
109 | 109 | | 79provided by the company, directly or through its agents, to any physician, hospital, nursing |
---|
110 | 110 | | 80home, pharmacist, health benefit plan administrator, education program, health care practitioner |
---|
111 | 111 | | 81or any other person in this commonwealth authorized to prescribe, dispense, or purchase |
---|
112 | 112 | | 82prescription drugs or medical devices. Required disclosures under this section shall include, but |
---|
113 | 113 | | 83are not limited to, any payments made for board memberships, research, or consulting services. |
---|
114 | 114 | | 84For each expenditure, the company must also identify the recipient and the recipient’s address, |
---|
115 | 115 | | 85credentials, institutional affiliation, and state board or DEA numbers. |
---|
116 | 116 | | 86 (2) Each company subject to the provisions of this section also shall disclose to the |
---|
117 | 117 | | 87department the name and address of the individual responsible for the company's compliance |
---|
118 | 118 | | 88with the provisions of this section, or if this information has been previously reported, any |
---|
119 | 119 | | 89changes to the name or address of the individual responsible for the company's compliance with |
---|
120 | 120 | | 90the provisions of this section. |
---|
121 | 121 | | 91 (3) Information disclosed pursuant to this section shall be accompanied by payment of a |
---|
122 | 122 | | 92fee, to be set by the department, to pay the costs of administering these provisions. 6 of 7 |
---|
123 | 123 | | 93 (b)(1) Information submitted to the department of public health pursuant to this section |
---|
124 | 124 | | 94shall be a public record except to the extent that it includes information that is protected by state |
---|
125 | 125 | | 95or federal law as a trade secret. |
---|
126 | 126 | | 96 (2) Notwithstanding any other provision of law, the identity of health care practitioners |
---|
127 | 127 | | 97and other recipients of gifts, payments and materials required to be reported in this chapter shall |
---|
128 | 128 | | 98not constitute confidential information or trade secrets protected under this section. |
---|
129 | 129 | | 99 (3) The department shall make all disclosed data publicly available and easily searchable |
---|
130 | 130 | | 100on its website. |
---|
131 | 131 | | 101 (c) The department shall report to the attorney general any payment, entertainment, |
---|
132 | 132 | | 102meals, travel, honorarium, subscription, advance, services or anything of value provided in |
---|
133 | 133 | | 103violation of this chapter, including anything of value provided when consideration of equal or |
---|
134 | 134 | | 104greater value was not received or anything of value provided that was not subject to an explicit |
---|
135 | 135 | | 105contract with specific deliverables which were restricted to medical or scientific issues. |
---|
136 | 136 | | 106 Section 4. The department, in consultation with the board of registration of pharmacy, |
---|
137 | 137 | | 107and board of registration of medicine, shall promulgate regulations requiring the licensing of all |
---|
138 | 138 | | 108pharmaceutical and medical device manufacturer agents. As a prerequisite to such licensing, |
---|
139 | 139 | | 109pharmaceutical and medical device manufacturer agents shall complete such training as may be |
---|
140 | 140 | | 110deemed appropriate by the department. As a prerequisite to the renewal of such license, |
---|
141 | 141 | | 111pharmaceutical and medical device manufacturer agents shall complete continuing education as |
---|
142 | 142 | | 112may be deemed appropriate by the department. The fee for such license shall be determined by |
---|
143 | 143 | | 113the department, in conjunction with the board of registration in pharmacy and the board of |
---|
144 | 144 | | 114registration in medicine at a rate sufficient to provide the administration and enforcement of this 7 of 7 |
---|
145 | 145 | | 115chapter. Revenue generated from this fee shall be divided in equal shares, 75 per cent to the |
---|
146 | 146 | | 116department of public health and 25% to the office of attorney general, line item 0810-0000, for |
---|
147 | 147 | | 117the administration of this chapter. |
---|
148 | 148 | | 118 Section 5. This chapter shall be enforced by the attorney general, the district attorney |
---|
149 | 149 | | 119with jurisdiction over a violation, or the department. A person who violates this chapter shall be |
---|
150 | 150 | | 120punished by a fine of not less than $10,000 for each transaction, occurrence or event that violates |
---|
151 | 151 | | 121this chapter. |
---|