Bill
Bill > H3787
MA H3787
MA H3787Relative to pharmacy benefit managers reimbursements to pharmacies in the Commonwealth
summary
Introduced
05/20/2021
05/20/2021
In Committee
05/20/2021
05/20/2021
Crossed Over
Passed
Dead
12/31/2022
12/31/2022
Introduced Session
192nd General Court
Bill Summary
Relative to pharmacy benefit managers reimbursements to pharmacies in the Commonwealth. Health Care Financing.
AI Summary
This bill aims to regulate the reimbursement practices of Pharmacy Benefit Managers (PBMs) in Massachusetts. It requires PBMs to adhere to specific guidelines when establishing Maximum Allowable Cost (MAC) lists, which are used to determine the reimbursement rates for pharmacies. The bill mandates that PBMs provide pharmacies with access to their MAC lists, update them promptly, and establish an administrative appeal process for pharmacies to challenge reimbursement rates. Additionally, the bill prohibits PBMs from reimbursing their affiliated pharmacies at lower rates than other pharmacies for the same services. This legislation aims to ensure fairness and transparency in the PBM-pharmacy reimbursement process, ultimately benefiting pharmacies and patients in the Commonwealth.
Committee Categories
Health and Social Services
Sponsors (3)
Last Action
Accompanied S771 (on 11/17/2021)
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/H3787 |
| Bill | https://malegislature.gov/Bills/192/H3787.pdf |
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