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H 4488·MA·house

An Act relative to pharmacy benefit managers reimbursements to pharmacies in the Commonwealth

Reported by CommitteeFiled Sep 18, 2025
Sponsor: Joint Committee on Financial Services
Latest Action

House: Reporting date extended to Friday, July 31, 2026

Jun 17, 2026

Summary

The bill adds a new section that forces PBMs to share and promptly update their maximum allowable cost (MAC) lists, let pharmacies appeal low reimbursements, and pay no less than what they pay their own affiliates. It applies to PBMs working with MassHealth or the group insurance commission and treats violations as unfair trade practices. The goal is to protect pharmacies from being under‑reimbursed for prescription drugs.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

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