H 4490 Massachusetts House · 194th Legislature (2025-2026)

An Act prohibiting discrimination against 340b drug discount program participants

This bill prohibits discrimination against entities participating in the federal 340B drug discount program. It requires insurers and drug distributors to pay 340B-covered entities (like community health centers and safety-net hospitals) and their contract pharmacies the same rate as non-340B providers for covered drugs, without imposing special requirements or modifiers for 340B drugs. The law also protects patients' choice to receive 340B drugs from participating providers without interference. Violations are treated as unfair trade practices under Massachusetts law, enforced by the Attorney General and pharmacy board. The bill directly affects 340B program participants, their pharmacy partners, insurers, and drug manufacturers/distributors operating in Massachusetts.
Bill status in committee 1 of 4 stages cleared
Introduction
Sep 2025
Committee Review
Floor Vote
Governor
Introduced Sep 18, 2025 Last action Jun 17, 2026
Floor votes

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Full legislative history

Actions timeline

Total actions
6
Key actions
2
Committee
2
Sep 18, 2025
Lower · Passed
Reported favorably by committee and referred to the committee on Health Care Financing
lower
Sep 18, 2025
Lower · Passed
Reported from the committee on Financial Services
lower
0 primary · 21 co-sponsors

Sponsors

No sponsor information available.