Bill > H1199

This bill aims to regulate the distribution of specialty medications in Massachusetts. It prohibits insurers from requiring specialty pharmacies to directly dispense medications to patients who will then transport them to a healthcare provider for administration. It also allows, but does not require, insurers to offer coverage for home infusion pharmacies or the use of infusion sites external to a patient's provider office or clinic. When insurers require distribution of medications from specialty pharmacies to healthcare providers, the bill outlines several requirements, including advance notice, expedited exceptions, same-day delivery, and pharmacy accreditation standards. Additionally, the bill prohibits insurers from requiring certain medications, such as those requiring sterile compounding or patient-specific dosing, to be distributed from specialty pharmacies. Finally, the bill requires site-neutral payment to healthcare providers administering medications distributed from specialty pharmacies.

Business and Industry, Health and Social Services

https://malegislature.gov/Bills/192/H1199