H1167

To enact pharmacy benefit manager duties

Introduced·2/27/25
Introduced Text

Establishes duties for pharmacy benefit managers in Massachusetts, including transparency and conflict of interest disclosure.

The bill outlines duties for pharmacy benefit managers in Massachusetts, including obligations to provide transparency and disclose conflicts of interest to enrollees, health benefit plans, and providers. It mandates duties of care, good faith, and fair dealing, and requires the commissioner to adopt regulations defining these duties. The bill also addresses spread pricing and administrative appeals for penalties imposed by the commissioner.

Included in complete analysis

  • Overview
  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Current
Health Care Financing Committee
Next
Committee decision

Sponsors

D
1
0
Democratic CaucusRepublican Caucus

Calendar

Jun 10, 2025

10:30 AM

Joint Committee on Financial Services Hearing

History

Jun 17

House

Reporting date extended to Friday, July 31, 2026

Mar 19

House

Reporting date extended to Monday, June 15, 2026

Dec 8, 2025

House

Reporting date extended to Wednesday, March 18, 2026