Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H1202

Introduced
2/27/25  

Caption

Establishing a commission to study maximum allowable costs lists

Impact

If enacted, the commission will investigate current practices regarding MAC lists, including how they are determined and their impacts on healthcare costs. The exploration into standardization of MAC lists could lead to more transparency in pricing and reimbursement processes within the healthcare system. The bill underscores the necessity for a robust examination of how these practices affect access to necessary medications, particularly for vulnerable populations. The commission is expected to submit its findings within 180 days of the passage of the act.

Summary

House Bill 1202 aims to establish a special commission focused on studying the implementation and implications of maximum allowable costs (MAC) lists utilized by insurance payers and pharmaceutical benefit managers in Massachusetts. The bill highlights the growing concerns surrounding the costs associated with prescription drugs and aims to address the financial implications these costs have on both healthcare providers and patients. This commission will be comprised of varied stakeholders, including representatives from the health sector, pharmaceutical industry advocates, and state legislators, indicating a comprehensive approach to this complex issue.

Contention

Although the intent behind HB 1202 is to increase transparency and potentially improve the affordability of prescription drugs, there may be contention surrounding the bill's implications. Stakeholders in the pharmaceutical industry may express concerns about standardization efforts, arguing it could limit profit margins or lead to increasing costs passed onto consumers. Moreover, discussions on healthcare policies often see varied opinions between insurers and providers, which could create friction as the commission begins its investigations. Addressing these different viewpoints will be crucial in the legislative process.

Companion Bills

MA H5223

Replaced by Study Order

Previously Filed As

MA H4790

Pharmacy Benefits Managers - Maximum Allowable Cost Lists

MA H400

Creating a maximum allowable check- cashing rate

MA H1531

Establishing a commission to study housing affordability and density reform

MA H2458

Establishing a commission to study the promotion of direct primary care services

MA H2456

Establishing a commission to study the encouragement of organ donation

MA H1205

Establishing a commission to study the promotion of preferred pharmacy networks

MA SB583

To Amend The Law Concerning Maximum Allowable Cost Lists Relating To Pharmacy Services.

MA H3149

Establishing a commission to study reforms to the low-income housing tax credit program

MA H3512

Establishing a special legislative commission to study small modular reactors

MA H83

Establishing a special legislative commission to study load growth due to AI and data centers

Similar Bills

No similar bills found.