Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H4493

Introduced
9/18/25  

Caption

To ensure access to prescription medication and community pharmacies

Impact

The impact of HB 4493 is significant as it seeks to level the playing field between independent community pharmacies and corporate pharmacy chains. The bill includes provisions that prohibit PBMs from engaging in practices that may unfairly disadvantage non-affiliated pharmacies, specifically with regards to pricing and access to medications. Additionally, the obligations placed upon PBMs regarding disclosure of drug pricing structures aim to ensure that community pharmacies can offer competitive pricing to their customers, ultimately supporting local healthcare accessibility and integrity in pharmacy services.

Summary

House Bill 4493 aims to enhance access to prescription medications and bolster the role of community pharmacies in Massachusetts. This legislative effort addresses the operational scope and regulations surrounding pharmacy benefit managers (PBMs), detailing their responsibilities in monitoring drug pricing and ensuring that community pharmacies can compete fairly with larger pharmacy networks and corporate entities. The bill introduces updates to the General Laws by mandating PBMs to provide essential cost-related information to pharmacies, emphasizing transparency in drug pricing to prevent potential financial discrepancies that may arise from current practices.

Contention

Discussions surrounding HB 4493 highlight notable points of contention, particularly related to the balance of power between large pharmaceutical corporations and community pharmacies. Supporters argue that the bill is a necessary step toward safeguarding community pharmacies from practices such as 'pharmacy steering', where prescriptions are directed towards pharmacies owned by PBMs, potentially limiting choices for consumers. Conversely, opponents might express concerns regarding the feasibility of the bill’s implementation on PBMs and whether it could lead to unintended consequences in the marketplace, impacting overall competition and consumer costs.

Companion Bills

MA H1157

Replaces To ensure access to prescription medication and community pharmacies

Previously Filed As

MA H1157

To ensure access to prescription medication and community pharmacies

MA S831

To ensure access to prescription medication and community pharmacies

MA SB1309

Pharmacists; care standard; prescriptions

MA S830

To preserve community pharmacies

MA H4346

To ensure access to prescription medications

MA S827

To ensure access to prescription medications

MA H1326

To ensure access to prescription medications

MA SB493

Relating to protection of certain disclosures and communications by pharmacists and pharmacies regarding prescription drug benefits.

MA HB1531

To Prohibit Pharmaceutical Manufacturers From Restricting Or Limiting Prescription Medications To A Limited Distribution Network Of Out-of-state Pharmacies.

MA S2298

Regulates Internet pharmacies and electronic prescriptions.

Similar Bills

KS HB2551

Enacting the Kansas pharmacy services administrative organization act.

MS HB558

Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.

MS HB1125

Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.

AR SB593

To Amend The Arkansas Pharmacy Benefits Manager Licensure Act; And To Create The Pharmacy Services Administrative Organization Act.

NJ S2345

"Patient and Provider Protection Act."

AR SB475

To Establish The Pharmacy Services Administrative Organization Act; And To Regulate Pharmacy Services Administrative Organizations.

AZ HB2429

Pharmacy benefits; pharmacy management networks

AZ HB2813

Pharmacy benefits; workers' compensation