H4493

To ensure access to prescription medication and community pharmacies

Introduced·9/18/25
Introduced Text

Massachusetts H4493 aims to ensure access to prescription medication and community pharmacies by regulating pharmacy benefit managers.

Massachusetts H4493 mandates that pharmacy benefit managers must include ingredient costs in contracts with pharmacies, ensuring these costs meet or exceed those used by the Massachusetts Medicaid Program. The bill prohibits pharmacy benefit managers from charging pharmacies for credentialing and from engaging in pharmacy steering practices. It also requires pharmacy benefit managers to allow any licensed Massachusetts pharmacy to provide medications, including specialty medications, if they meet the required service standards.

Included in complete analysis

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

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Where it stands

Current
Ways and Means Committee
Next
Committee decision

Sponsors

0
0
Democratic CaucusRepublican Caucus

History

Aug 4

House

Committee recommended bill ought to pass and referred to the committee on House Ways and Means

Jun 17

House

Reporting date extended to Friday, July 31, 2026

Mar 19

House

Reporting date extended to Monday, June 15, 2026