H 1155 Massachusetts House · 193rd Legislature (2023-2024)

An Act to enact pharmacy benefit manager duties

This bill establishes a legal duty of care for pharmacy benefit managers in Massachusetts, requiring them to act with fairness, transparency, and professionalism to serve the best interests of patients, insurance plans, and healthcare providers. The legislation defines key terms such as "spread pricing" and outlines specific services that fall under pharmacy benefit management, including drug price negotiation and claims processing. Under the new rules, these managers must perform their duties diligently and fairly, ensuring that any fees charged do not exceed the actual value of the services provided. The law also grants the state insurance commissioner the authority to adopt additional regulations to implement these standards.
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 4, 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 · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Chynah Tyler
Chynah Tyler
DDemocratic
MA
7th Suffolk