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Bill > H1202


MA H1202

MA H1202
Establishing a commission to study maximum allowable costs lists


summary

Introduced
02/27/2025
In Committee
02/27/2025
Crossed Over
Passed
Dead

Introduced Session

194th General Court

Bill Summary

Relative to maximum allowable costs lists utilized by payers and pharmaceutical benefit managers to identify the maximum amount health plans will pay for certain prescription drugs. Financial Services.

AI Summary

This bill establishes a special commission to investigate maximum allowable costs (MAC) lists, which are used by health insurers and pharmacy benefit managers (PBMs) to determine the maximum amount they will pay for specific prescription drugs. The 10-member commission will include representatives from various stakeholder groups, such as state officials (including the secretary of health and human services, legislative leaders, and minority leaders), health plans, pharmacists, healthcare providers, pharmaceutical companies, and PBMs. The commission will comprehensively examine current MAC list practices, focusing on how these lists are developed, their financial implications, and potential industry-wide standardization efforts. The goal is to increase transparency in the process of determining drug pricing limits. The commission is required to submit a detailed report with findings and potential legislative recommendations to key legislative committees within 180 days of the act's passage, providing a thorough review of MAC list practices and potential areas for reform in pharmaceutical pricing.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Hearing scheduled for 10/01/2025 from 10:30 AM-01:00 PM in B-1 (on 10/01/2025)

bill text


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bill summary

Document Type Source Location
State Bill Page https://malegislature.gov/Bills/194/H1202
BillText https://malegislature.gov/Bills/194/H1202.pdf
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