H 1234
An Act relative to pharmacy benefit managers
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Bill overview
This bill, An Act relative to pharmacy benefit managers, aims to increase transparency and accountability within the pharmacy benefit management (PBM) industry in Massachusetts. It seeks to address concerns about how PBMs negotiate drug prices with pharmacies and insurance companies, and how those negotiations impact the cost of prescription drugs for consumers and pharmacies. The bill proposes several changes to how PBMs operate and interact with stakeholders in the healthcare system.
Key provisions
- Requires PBMs to disclose their rebate agreements with drug manufacturers.
- Establishes standards for PBMs’ reimbursement rates to pharmacies.
- Addresses potential conflicts of interest related to PBMs’ ownership of pharmacies.
- Promotes greater transparency in drug pricing negotiations.
- Requires PBMs to provide data on drug utilization and costs.
- Focuses on ensuring fair reimbursement practices for pharmacies.
- Seeks to clarify the role of PBMs in the prescription drug supply chain.
- Addresses the impact of PBM practices on patient access to medications.
Who is affected
- Pharmacy Benefit Managers (PBMs)
- Pharmacies
- Insurance Companies
- Prescription Drug Manufacturers
- Consumers in Massachusetts
Notable changes
- Increased disclosure requirements for PBMs regarding rebate agreements.
- Potential adjustments to reimbursement rates for pharmacies.
Sponsors
Official sponsors from legislative records.
Primary sponsor
Jr. John J. Lawn
Cosponsor
Jr. John J. Lawn
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Bill H.1234 194th (Current)
An Act relative to pharmacy benefit managers
By Representative Lawn of Watertown, a petition (accompanied by bill, House, No. 1234) of John J. Lawn, Jr., relative to pharmacy benefit managers insurance services. Financial Services.
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Bill Information
Bill Information
Presenter: John J. Lawn, Jr. Status: Referred to House Committee on Ways and Means
Tabs
Bill History Petitioners Committee Vote Committee Summary Hearing Attendance
Bill History
Displaying 4 actions for Bill H.1234
| Date | Branch | Action |
| 2/27/2025 | House | Referred to the committee on Financial Services |
| 2/27/2025 | Senate | Senate concurred |
| 6/3/2025 | Joint | Hearing scheduled for 06/10/2025 from 10:30 AM-01:00 PM in A-2 |
| 9/18/2025 | House | Bill reported favorably by committee and referred to the committee on House Ways and Means |
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