Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H4492

Introduced
9/18/25  

Caption

Relative to patient financial protection

Impact

If enacted, H4492 would have a significant impact on the landscape of health insurance in Massachusetts. By requiring all policies supporting prescription drug coverage to implement an out-of-pocket limit, it is expected that patients will experience reduced deductible amounts for such drugs, facilitating better access to these essential treatments. This legislative change could foster improved patient welfare and health outcomes, as individuals would be less likely to forgo necessary medications due to cost concerns.

Summary

House Bill 4492, known as the Act Relative to Patient Financial Protection, seeks to amend existing Massachusetts state laws regarding insurance coverage for prescription drugs. Specifically, the bill proposes to establish a separate out-of-pocket limit for prescription drugs, which includes specialty medicines. This limit is intended to enhance financial protection for patients by ensuring that their out-of-pocket expenses for prescription drugs do not exceed a predefined threshold, related to federal guidelines for high-deductible health plans. This measure aims to alleviate some of the financial burdens that patients face when purchasing necessary medications.

Contention

While the bill has been framed as a necessary consumer protection measure, it may face contention regarding its implications for insurance providers and cost structures within the healthcare system. Proponents argue that it is a step forward in improving financial protection for those requiring medications. However, insurance companies may express concern over the additional financial burdens placed on them and the potential for increased premiums as a result of the mandated out-of-pocket limits. As discussions progress, various stakeholders, including healthcare advocates and insurers, will likely weigh in on the balance between patient protections and the financial feasibility for insurance providers.

Companion Bills

MA H1133

Replaces Relative to patient financial protection

Previously Filed As

MA H1133

Relative to patient financial protection

MA H1261

Protecting patients from surprise bills related to emergency ambulance service

MA S799

Protecting patients from surprise bills related to emergency ambulance service

MA H5042

Protecting patients from surprise bills related to emergency ambulance service

MA A1502

"Patient and Provider Protection Act."

MA HB100

Prescription Drug Consumer Financial Protection Act; enact

MA H2472

Protecting patient safety regarding non-FDA approved drugs

MA S1497

Protecting patient safety regarding non-FDA approved drugs

MA H1305

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

MA H4496

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

Similar Bills

AZ HB2291

Opioids; containers; labeling; requirements; repeal

CA AB577

Health care coverage: antisteering.

RI H8318

Prescriptions for testosterone not allowed to be transmitted or reported within the prescription drug monitoring database and removes from the records all existing information concerning prior testosterone prescriptions.

RI S2889

Prescriptions for testosterone not allowed to be transmitted or reported within the prescription drug monitoring database and removes from the records all existing information concerning prior testosterone prescriptions.

HI SB2751

Relating To Workers' Compensation.

HI HB2225

Relating To Health.

RI H5866

Increases the maximum fill for non-opioid, non-narcotic controlled substances found in schedule II, so that a sixty-day (60) supply may be dispensed at any one time.

RI S0795

Increases the maximum fill for non-opioid, non-narcotic controlled substances found in schedule II, so that a ninety-day (90) supply may be dispensed at any one time.