H 4494 Massachusetts House · 194th Legislature (2025-2026)

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

This bill prohibits pharmacy benefit managers (PBMs) from discriminating against hospitals and clinics participating in the federal 340B drug discount program. It specifically bans PBMs from paying lower rates for 340B drugs than non-340B drugs, charging extra fees for 340B participation, restricting network access based on 340B status, or imposing higher patient costs (like extra copays) when using 340B providers. The law directly affects safety-net hospitals, clinics, and their patients who rely on the 340B program to access discounted medications. It ensures these providers aren’t penalized for participating in the federal program through PBM billing practices.
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
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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 · 4 co-sponsors

Sponsors

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