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Bill

HD 2930

An Act prohibiting discrimination against 340b drug discount program participants

194th Legislature (2025-2026) Introduced by Dan Cahill and 3 co-sponsors

Massachusetts bill prohibits retaliation against hospitals and clinics participating in federal 340B drug discount program, protecting affordable medication access for vulnerable populations.

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Bill Summary · HD 2930

Legislative bill overview

HD 2930 prohibits discrimination against healthcare entities and covered individuals who participate in the 340B drug discount program, a federal program that allows certain hospitals and clinics to purchase medications at significantly reduced prices. The bill would establish protections against retaliation or disadvantageous treatment by pharmaceutical manufacturers, pharmacy benefit managers (PBMs), insurers, or other entities based on 340B participation.

Why is this important

The 340B program helps safety-net hospitals, clinics serving vulnerable populations, and other covered entities stretch limited resources by reducing drug acquisition costs. Without anti-discrimination protections, manufacturers or intermediaries could threaten to exclude 340B participants from programs, increase prices selectively, or create barriers that effectively penalize participation. This directly affects affordability and access to medications for uninsured, underinsured, and low-income patients.

Potential points of contention

  • Pharmaceutical industry resistance: Manufacturers may argue the bill infringes on their business practices and pricing discretion, claiming they need flexibility in program participation decisions
  • Definition and enforcement challenges: The bill's scope depends heavily on how "discrimination" is defined—what constitutes prohibited retaliation versus legitimate business decisions remains legally murky
  • PBM intermediary concerns: Pharmacy benefit managers may argue compliance creates administrative burden and cost, potentially affecting their ability to negotiate drug prices or manage formularies

Compiled from official sources — confirm details with the bill’s official record.

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