H 1274 Massachusetts House · 194th Legislature (2025-2026)

An Act prohibiting PBMs from discriminating against hospitals and patients participating in the 340B drug discount program

HD 1119 prohibits pharmacy benefit managers (PBMs) from discriminating against hospitals and patients participating in the federal 340B drug discount program. The bill specifically bans PBMs from reimbursing 340B hospitals at lower rates than non-340B hospitals, charging extra fees for 340B participation, restricting network access based on 340B status, or requiring special identification for 340B drugs (except for Medicaid claims). It also prevents PBMs from steering patients away from 340B providers or imposing higher costs like extra copays for drugs obtained through these hospitals. This state-level bill directly affects 340B-covered hospitals (including community health centers and safety-net providers) and their patients by ensuring equitable access to discounted medications.
Sub-Topics: Prescription Drugs
Bill status passed 3 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Feb 2025
Senate Passage
Feb 2025
Governor
Introduced Feb 27, 2025 Last action Sep 18, 2025
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
4
Key actions
1
Committee
1
Feb 27, 2025
Upper · Passed
Senate concurred
upper
Feb 27, 2025
Committee
Referred to the committee on Financial Services
lower
1 primary · 3 co-sponsors

Sponsors