Massachusetts 2025-2026 Regular Session

Massachusetts Senate Bill S781 Latest Draft

Bill / Introduced Version Filed 02/27/2025

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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.