HD 3872 Massachusetts House · 194th Legislature (2025-2026)

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

HD 3872 requires health insurance plans covering prescription drugs to allow pro-rated daily cost-sharing for partial medication fills when a prescriber or pharmacist determines it benefits the patient and the patient agrees, specifically for medication synchronization. It prohibits insurers from denying coverage for partial fills under these conditions and mandates pharmacies to override system denials for synchronization purposes. The bill also mandates full payment for dispensing fees on partial fills, regardless of any pro-rated patient copay. This directly affects patients managing multiple medications and their insurers, aiming to improve adherence and reduce waste by aligning prescription schedules.
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P
Photo of Danny Ryan
Danny Ryan
DDemocratic
MA
2nd Suffolk