summary
Introduced
03/29/2021
03/29/2021
In Committee
03/30/2022
03/30/2022
Crossed Over
Passed
Dead
12/31/2022
12/31/2022
Introduced Session
192nd General Court
Bill Summary
Relative to access to generic medications. Financial Services.
AI Summary
This bill aims to ensure access to generic medications by regulating the practices of pharmacy benefit managers (PBMs) and covered entities. It establishes requirements for PBMs and covered entities to maintain maximum allowable cost (MAC) lists, which set the maximum amount they will reimburse pharmacies for the cost of drugs or medical products. The bill requires PBMs and covered entities to ensure that the MAC is equal to or greater than the pharmacy's acquisition cost, update the MAC lists at least every 3 business days, and provide the sources used to determine the MAC and the lists themselves to contracted pharmacies. It also establishes a process for pharmacies to contest the MAC for a particular drug or product, and requires PBMs and covered entities to adjust the MAC if the appeal is found to be valid.
Committee Categories
Business and Industry, Health and Social Services
Sponsors (2)
Last Action
Accompanied a study order, see H5222 (on 09/15/2022)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://malegislature.gov/Bills/192/H1155 |
| Bill | https://malegislature.gov/Bills/192/H1155.pdf |
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