Bill > H1148

This bill aims to regulate the practices of pharmacy benefits managers (PBMs) in Massachusetts. It requires PBMs to obtain a license from the Commissioner of Insurance and outlines various requirements for PBMs, including providing transparency on the difference between what they pay to providers and what they bill to covered entities, establishing a process for providers to appeal maximum allowable cost (MAC) pricing, and not requiring accreditation or licensing of providers beyond what is required by the state's Board of Registration in Pharmacy or the federal government. The bill also prohibits PBMs from placing a drug on a MAC list unless there are at least two therapeutically equivalent, multiple-source drugs available, and allows pharmacies to decline providing services if they are to be paid less than the pharmacy's cost.

Business and Industry, Health and Social Services

https://malegislature.gov/Bills/193/H1148