1 of 1 SENATE DOCKET, NO. 1554 FILED ON: 1/16/2025 SENATE . . . . . . . . . . . . . . No. 781 The Commonwealth of Massachusetts _________________ PRESENTED BY: Joan B. Lovely _________________ 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 healthcare costs by ensuring patient adherence to medications. _______________ PETITION OF: NAME:DISTRICT/ADDRESS :Joan B. LovelySecond Essex 1 of 2 SENATE DOCKET, NO. 1554 FILED ON: 1/16/2025 SENATE . . . . . . . . . . . . . . No. 781 By Ms. Lovely, a petition (accompanied by bill, Senate, No. 781) of Joan B. Lovely for legislation relative to medication synchronization. Financial Services. [SIMILAR MATTER FILED IN PREVIOUS SESSION SEE SENATE, NO. 670 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 healthcare 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 An individual or group health insurance policy providing prescription drug coverage in 2the state must permit and apply a pro-rated daily cost-sharing rate to prescriptions dispensed by a 3network pharmacy for a partial supply if the prescriber or pharmacist determines the fill or refill 4to be in the best interest of the patient and the patient requests or agrees to a partial supply for the 5purpose 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 by a network pharmacy on the basis that the 8dispensing is for a partial supply if the prescriber or pharmacist determines the fill or refill to be 9in the best interest of the patient and the patient requests or agrees to a partial supply for the 10purpose of synchronizing the patient’s medications. The individual or group health plan must 2 of 2 11allow a pharmacy to override any denial codes indicating that a prescription is being refilled too 12soon 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.