H4496

To help patients and reduce health care costs by ensuring patient adherence to medications

Introduced·9/18/25
Introduced Text

Ensures health insurance policies allow pro-rated cost-sharing for partial medication supplies to improve patient adherence.

This bill mandates that health insurance policies in Massachusetts permit pro-rated cost-sharing for partial medication supplies when deemed beneficial by a prescriber or pharmacist. It also requires insurers to allow pharmacies to override refill denial codes for medication synchronization and prohibits insurers from using pro-rated dispensing fees. This aims to help patients adhere to their medication regimens and potentially reduce overall healthcare costs.

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

0
0
Democratic CaucusRepublican Caucus

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