Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H4489

Introduced
9/18/25  

Caption

To ensure affordable prescription medications through accountability standards

Impact

The implications of HB 4489 on state laws are profound, as it seeks to amend existing healthcare regulations by incorporating accountability standards that influence how pharmaceutical pricing is managed. The bill mandates that manufacturers provide detailed insights into their pricing strategies and any inflationary trends, thus granting regulators tools to evaluate drug affordability. This initiative aims to target excessive pricing practices, particularly for drugs with significant financial impact on healthcare systems in Massachusetts.

Summary

House Bill 4489 aims to enhance the affordability of prescription medications in Massachusetts through the establishment of accountability standards for pharmaceutical manufacturers. This legislation introduces requirements for manufacturers to disclose specific pricing information to a commission, which will analyze drug costs and identify unreasonable price increases over the past years. Furthermore, the bill includes provisions to assess potential fines for non-compliance with reporting obligations, thereby promoting greater compliance and transparency in drug pricing.

Contention

While the bill has garnered support for its focus on transparency and accountability, it is not without controversy. Proponents argue that it is a necessary step to control rising drug costs and ensure that medications are accessible to all citizens. Conversely, some opponents may view these regulations as an overreach that could stifle innovation within the pharmaceutical industry. Concerns regarding compliance burdens on manufacturers, and the potential for unintended consequences affecting drug availability, may also emerge as critical points of contention during discussions about the bill.

Companion Bills

MA H1092

Replaces To ensure affordable prescription medications through accountability standards

Previously Filed As

MA H1092

To ensure affordable prescription medications through accountability standards

MA H1326

To ensure access to prescription medications

MA S827

To ensure access to prescription medications

MA H4346

To ensure access to prescription medications

MA SB212

Enacting the prescription drug cost and affordability review act to establish the prescription drug pricing board and prescription drug affordability stakeholder council to review the cost of prescription medications and establish upper payment limits for certain prescription drugs.

MA SB478

Relative to strengthening prescription drug affordability and pharmacy benefits manager accountability.

MA H1157

To ensure access to prescription medication and community pharmacies

MA H4493

To ensure access to prescription medication and community pharmacies

MA S831

To ensure access to prescription medication and community pharmacies

MA HB1358

Coverage of prescription pain medications.

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