H4488
An Act relative to pharmacy benefit managers reimbursements to pharmacies in the Commonwealth
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Sign in to take action- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill aims to increase transparency and fairness in how pharmacy benefit managers (PBMs) reimburse pharmacies in Massachusetts. It seeks to ensure that pharmacies receive appropriate reimbursement rates for the medications they dispense, addressing concerns about PBM practices that may negatively impact pharmacy profitability and patient access to medications. The bill proposes changes to how PBMs calculate and distribute reimbursements, with the goal of promoting a more sustainable pharmacy ecosystem.
Key provisions
- Requires PBMs to provide detailed information on reimbursement rates.
- Establishes a process for pharmacies to challenge reimbursement rates.
- Promotes greater transparency in PBM contracts with pharmacies.
- Addresses potential conflicts of interest within PBMs.
- Requires PBMs to report on the impact of their reimbursement practices on pharmacy closures.
Who is affected
- Pharmacies
- Pharmacy Benefit Managers (PBMs)
- Patients in Massachusetts
- The healthcare industry in Massachusetts
- The General Court
Notable changes
- Increased transparency regarding PBM reimbursement practices.
- Potential for adjustments to reimbursement rates to better reflect pharmacy costs.
- Mechanisms for pharmacies to dispute unfair reimbursement rates.
Sponsors
Official sponsors from legislative records.
Primary sponsor
Joint Committee on Financial Services
Cosponsor
Alyson M. Sullivan-Almeida
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Bill H.4488 194th (Current)
An Act relative to pharmacy benefit managers reimbursements to pharmacies in the Commonwealth
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Bill Information
Bill Information
Sponsor: Joint Committee on Financial Services Status: Referred to Joint Committee on Health Care Financing
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Bill History Cosponsors Committee Vote Committee Summary
Bill History
Displaying 5 actions for Bill H.4488
| Date | Branch | Action |
| 9/18/2025 | House | Reported from the committee on Financial Services |
| 9/18/2025 | House | New draft of H1330 |
| 9/18/2025 | House | Reported favorably by committee and referred to the committee on Health Care Financing |
| 12/8/2025 | House | Reporting date extended to Wednesday, March 18, 2026 |
| 3/19/2026 | House | Reporting date extended to Monday, June 15, 2026 |
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