H 1135 Massachusetts House · 193rd Legislature (2023-2024)

An Act to help patients and reduce health care costs by ensuring patient adherence to medications

This bill requires health insurance plans in Massachusetts to cover partial fills of prescriptions when a doctor or pharmacist determines it is in the patient's best interest for medication synchronization. It specifically prohibits insurers from denying coverage or using pro-rated dispensing fees for these partial supplies, ensuring pharmacies can override standard denial codes related to early refills. The law directly affects patients managing multiple medications and the pharmacies and insurers that process their prescriptions. By mandating full payment for partial fills regardless of the patient's copay, the bill aims to reduce administrative barriers and improve adherence to medication schedules.
Bill status passed 3 of 4 stages cleared
Introduction
Feb 2023
Committee Review
Apr 2024
Senate Passage
Feb 2023
Governor
Introduced Feb 16, 2023 Last action Sep 5, 2024
Floor votes

How they voted

This bill passed the Senate. No roll call record of that vote is available.
Full legislative history

Actions timeline

Total actions
5
Key actions
1
Committee
2
Apr 3, 2024
Committee
Reported favorably by committee and referred to the committee on Health Care Financing
lower
Feb 16, 2023
Upper · Passed
Senate concurred
upper
Feb 16, 2023
Committee
Referred to the committee on Financial Services
lower
1 primary · 1 co-sponsor

Sponsors