Massachusetts 2025-2026 Regular Session

Massachusetts Senate Bill S830

Introduced
2/27/25  

Caption

To preserve community pharmacies

Impact

The introduction of SB 830 is expected to have significant ramifications on state laws governing pharmacy operations. By enforcing standards on how medication pricing is determined and introducing a framework for audits, the bill aims to enhance transparency in pharmaceutical pricing. This could potentially help stabilize community pharmacies, allowing them to remain competitive against large chain pharmacies and ensuring that they can continue to provide essential services to their local communities.

Summary

Senate Bill 830 aims to preserve community pharmacies in the Commonwealth of Massachusetts by instituting audits on contracts for pharmacy services. The bill mandates that pharmacy benefit managers (PBMs) establish procedures that ensure pharmacies can contest costs associated with medications and medical products if they feel the prices set are unjust. Among other provisions, the bill stipulates that contracts must include ingredient costs that are competitive with the Medicaid program, thereby seeking to level the playing field for pharmacies, particularly those that may struggle to negotiate pricing with larger PBMs.

Contention

Notable points of contention surrounding SB 830 include potential pushback from pharmacy benefit managers who may see the legislation as an infringement on their ability to negotiate costs freely. Critics have voiced concerns that the bill may increase operational costs for PBMs, which could ultimately lead to higher prices for consumers. Conversely, supporters of the bill argue that without such measures, the current system disproportionately favors larger entities over smaller pharmacies, which play a vital role in local healthcare ecosystems. Stakeholders from both sides are expected to weigh in as discussions progress.

Companion Bills

MA S2787

Replaced by Order relative to authorizing the joint committee on Financial Services, to make an investigation and study of certain current Senate documents relative to health insurance matters.

Previously Filed As

MA S831

To ensure access to prescription medication and community pharmacies

MA H1157

To ensure access to prescription medication and community pharmacies

MA H4493

To ensure access to prescription medication and community pharmacies

MA HB1222

Preserving Access to Rural Independent Pharmacies

MA HB2208

Pharmacists; pharmacies; reimbursement costs; appeals

MA H3271

Relative to preserving information content of historic resources with community preservation funds

MA HB2196

Pharmacists; pharmacies; reimbursement costs; appeals

MA H894

Relative to community preservation funds for coastal infrastructure

MA SB493

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

MA S663

Relative to the Salisbury Beach Preservation Trust Fund

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.

AR SB475

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

AZ HB2429

Pharmacy benefits; pharmacy management networks

MS HB1119

Pharmacy benefit managers; revise provisions related to.

AZ HB2813

Pharmacy benefits; workers' compensation