Massachusetts H4492 establishes separate out-of-pocket limits for prescription drugs, including specialty drugs, in health insurance policies.

Massachusetts H4492 mandates that health insurance policies, contracts, and certificates delivered, issued, or renewed within the state establish a separate out-of-pocket limit for prescription drugs, including specialty drugs. This limit cannot exceed the minimum annual deductible for a high deductible health plan under federal law. The bill applies to all relevant health insurance policies delivered, issued, or renewed on or after January 1, 2026.

Massachusetts H4492 establishes separate out-of-pocket limits for prescription drugs, including specialty drugs, in health insurance policies.

Massachusetts H4492 mandates that health insurance policies, contracts, and certificates delivered, issued, or renewed within the state establish a separate out-of-pocket limit for prescription drugs, including specialty drugs. This limit cannot exceed the minimum annual deductible for a high deductible health plan under federal law. The bill applies to all relevant health insurance policies delivered, issued, or renewed on or after January 1, 2026.