Maddy summaryThis bill amends Massachusetts law to regulate how pharmacy benefit managers and insurance companies set maximum allowable costs for prescription drugs. It requires these entities to ensure that the reimbursement rates they offer pharmacies are at least equal to the actual cost of acquiring the medication. Additionally, the bill mandates that drugs placed on these cost lists must have generic alternatives available and that the lists be updated and shared with pharmacies at least every three business days. The legislation also establishes a formal process for pharmacies to appeal reimbursement decisions if they believe the set costs are too low.
Rep. Carmine Gentile
Sponsored bills
Maddy summaryThis bill proposes changes to the Massachusetts health care system to better support family members who serve as unpaid caregivers for relatives receiving home care services. The legislation aims to establish a formal recognition program that would allow these family caregivers to receive training, respite care services, and other resources to help manage the demands of their role. By creating a structured support framework, the bill seeks to improve the well-being of both the caregivers and the individuals they support without altering the core funding or eligibility rules for existing home care programs.
Maddy summaryThis bill proposes changes to the payment rates for workers who provide support and services to individuals with disabilities in Massachusetts. It directly affects the Department of Developmental Services and the employees who deliver care under its programs. The legislation seeks to adjust how these workers are compensated, though the specific new rate amounts or calculation methods are not detailed in the provided text.
Maddy summaryThis bill amends Massachusetts law to establish higher minimum payment rates for behavioral health services provided by clinics compared to those offered by independent practitioners. Specifically, it mandates that clinics receive rates at least 20% higher than comparable services from independent social workers and requires a 5% increase for all clinic procedures effective January 1, 2023. The legislation also directs the state division to review these rates every two years, ensuring adjustments include an inflation factor based on Medicare data and wage comparisons for clinic staff. These changes directly affect managed care entities and behavioral health clinics licensed by the Department of Public Health, aiming to standardize and improve compensation for clinic-based care.
Maddy summaryThis bill establishes new payment standards for behavioral health clinics in Massachusetts to ensure they receive fair compensation for mental health and substance use services. It requires the state health division to increase minimum payment rates by 5% effective January 1, 2023, and mandates that bundled rates for clinic services be at least 20% higher than those paid to independent practitioners. Additionally, the law directs the division to review these rates every two years, adjusting them based on inflation, staff wage data, and the costs of new government mandates. These changes directly affect clinics licensed by the Department of Public Health and the managed care entities that pay for their services.
Maddy summaryThis bill amends Massachusetts state law to broaden the scope of medical protections and definitions related to abortion care. It changes language to include individuals at risk of infection rather than those who have already been exposed and expands the definition of abortion-related services to include prevention measures. The legislation also clarifies that a doctor's conscientious objection cannot be used to deny care if the procedure is necessary to save a patient's life and no other staff are available. Additionally, it updates legal terminology to refer to a wider range of licensed health professionals, such as nurse practitioners and midwives, as qualified providers for these services.
Maddy summaryThis bill raises the age of criminal majority in Massachusetts from 18 to 21, meaning individuals aged 18 and 19 would no longer be treated as adults within the criminal justice system. The legislation updates various state laws to replace the specific age of 18 with the term "criminal majority," ensuring consistency across different legal contexts. By extending juvenile protections to 21-year-olds, the measure aims to provide better outcomes for young adults and promote public safety.
Maddy summaryThis bill establishes a new legal process in Massachusetts to provide critical community health services, which include behavioral health and social support that do not require hospitalization. It creates a specific definition for "gravely disabled" individuals and allows a range of people, including doctors, family members, and guardians, to petition a district court for a treatment plan for adults with serious mental illnesses who meet this criteria. The legislation aims to keep people in community settings rather than inpatient facilities by authorizing court-supervised plans delivered by licensed mental health professionals.
Maddy summaryThis bill establishes the Massachusetts Secure Choice Savings Program, a state-run initiative designed to help private-sector employees save for retirement through automatic payroll deductions. It creates a new board to administer the program and defines eligibility for employers, which must have at least five employees, operate for two years, and not currently offer a qualified retirement plan. The program allows eligible workers to automatically enroll in an Individual Retirement Account (IRA), with contributions deducted directly from their paychecks and held in a separate trust fund that is not considered state property. Employers participating in the program are required to facilitate these payroll deductions, while the state provides the administrative framework to make retirement savings more accessible and portable for workers.
By Representative Arciero of Westford, a petition (subject to Joint Rule 12) of James Arciero and others for legislation to authorize municipalities to provide residential exemptions to senior citizens. Revenue.