An Act relating to patient cost, benefit and coverage information, choice, and price transparency

This bill requires health plans and pharmacy benefit managers in Massachusetts to provide patients, doctors, and family members with real-time information about prescription drug costs, coverage, and available alternatives upon request. The law mandates that this data be shared immediately in standard electronic formats and includes details on out-of-pocket expenses, clinically appropriate substitutes, and any restrictions like prior authorization. Additionally, the bill prohibits insurers from hindering the sharing of this information or penalizing healthcare providers for discussing lower-cost options with patients. These measures aim to increase price transparency and help individuals make more informed decisions about their prescription medications.