H 4491 Massachusetts House · 194th Legislature (2025-2026)

An Act relative to non-medical switching

This bill prevents health insurers from forcing patients to switch prescription drugs without medical necessity ("nonmedical switching"). It requires insurers to maintain coverage for drugs a patient is medically stable on (as determined by their doctor), unless the drug is removed due to FDA safety concerns or manufacturing issues. Insurers must provide a clear, fast-track process for patients to request coverage exemptions, responding within 72 hours (24 hours for emergencies), with automatic approval if they miss deadlines. The bill directly affects patients on stable prescription regimens and health insurers managing drug coverage under health benefit plans.
Bill status in committee 1 of 4 stages cleared
Introduction
Sep 2025
Committee Review
Floor Vote
Governor
Introduced Sep 18, 2025 Last action Dec 4, 2025
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
4
Key actions
2
Committee
3
Dec 4, 2025
Committee
Committee recommended bill ought to pass and referred to the committee on House Ways and Means
lower
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 · 1 co-sponsor

Sponsors

No sponsor information available.