SD 1554 Massachusetts Senate · 194th Legislature (2025-2026)

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

SD 1554 requires health insurance plans in the state to cover partial prescription fills for medication synchronization when a prescriber or pharmacist deems it medically appropriate and the patient agrees. It prohibits insurers from denying coverage or applying pro-rated cost-sharing for such partial supplies, and mandates pharmacies to override system denials for this purpose. The bill also bans insurers from using pro-rated dispensing fees, requiring full payment for each partial fill regardless of patient copay amounts. This directly affects patients needing synchronized medications, pharmacists dispensing partial prescriptions, and health insurers managing coverage policies. The law aims to improve medication adherence and reduce costs by removing insurance barriers to flexible prescription scheduling.
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P
Photo of Joan Lovely
Joan Lovely
DDemocratic
MA
Second Essex