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Bill > S601


MA S601

To reduce the cost of pharmacy benefits


summary

Introduced
01/22/2019
In Committee
01/22/2019
Crossed Over
Passed
Dead
12/31/2020

Introduced Session

191st General Court

Bill Summary

For legislation to reduce the cost of pharmacy benefits . Financial Services.

AI Summary

This bill aims to reduce the cost of pharmacy benefits by introducing several key provisions. It defines a "pharmacy benefit manager" as an entity that manages prescription drug coverage on behalf of health carriers, self-insurance plans, or other third-party payers. The bill prohibits pharmacy benefit managers from requiring accreditation standards or financial incentives that favor specific pharmacies in which the manager has an ownership interest. It also requires pharmacy benefit managers to submit an annual transparency report detailing the rebates and administrative fees they receive from pharmaceutical manufacturers, as well as the percentage of those rebates that are not passed on to their health carrier clients. The Massachusetts Attorney General can impose civil fines for violations of these provisions, and the Health Policy Commission will publish a report on the total cost of pharmacy benefit management services to aid in negotiating cost-effective contracts.

Committee Categories

Business and Industry

Sponsors (7)

Last Action

Accompanied a study order, see S2543 (on 02/18/2020)

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