H 4496 Massachusetts House · 194th Legislature (2025-2026)

An Act to help patients and reduce health care costs by ensuring patient adherence to medications

H 4496 requires health insurance plans covering prescriptions to allow partial medication fills at a pro-rated daily cost when a doctor or pharmacist determines it benefits the patient and the patient agrees. It prohibits insurers from denying coverage for partial fills used to synchronize multiple prescriptions (e.g., aligning refill dates for several medications). The bill also mandates full payment for dispensing fees on partial fills and blocks insurers from using pro-rated dispensing fees. This directly affects patients needing medication synchronization, pharmacists, prescribers, and health insurance plans 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 · 1 co-sponsor

Sponsors

No sponsor information available.