Bill > S371

This bill aims to improve prescription drug coverage for seniors and the disabled in Massachusetts. The key provisions are: 1. The state's subsidized catastrophic prescription drug insurance program (Prescription Advantage) and the Medicaid program (MassHealth) will provide a one-time 30-day supply of prescribed medications, free of charge, for enrollees and beneficiaries who are also eligible for Medicare Part D coverage and have not yet received this supply in the current calendar year. After the 30-day supply is exhausted, these programs will also provide a one-time 72-hour supply of the medication, free of charge, each calendar year. 2. If a MassHealth beneficiary's Medicare Part D plan charges a co-pay or deductible that is higher than what MassHealth would have charged, MassHealth will pay the excess amount, and the beneficiary will only pay the MassHealth-level co-pay or deductible. 3. The state will provide MassHealth and Prescription Advantage coverage for medications that are excluded from Medicare Part D coverage but would otherwise be covered under these state programs. 4. Prescription Advantage will pay, in whole or in part, the Medicare Part D premiums for enrollees with income below 225% of the federal poverty level, unless prohibited by federal law.

Health and Social Services

https://malegislature.gov/Bills/191/S371