WeVote
Log In

Bill

Bill

HD 2810

An Act to enact pharmacy benefit manager duties

194th Legislature (2025-2026) Introduced by Sean Garballey

Massachusetts bill establishing transparency and accountability requirements for pharmacy benefit managers to regulate pricing practices and patient claim handling.

0
WeVote Research Nonpartisan
Bill Summary · HD 2810

Legislative bill overview

HD 2810 establishes new regulatory requirements and duties for pharmacy benefit managers (PBMs) operating in Massachusetts. The bill aims to increase transparency and accountability in how PBMs manage prescription drug benefits, negotiate prices, and handle patient claims.

Why is this important

PBMs serve as intermediaries between insurers, pharmacies, and patients, wielding significant control over drug pricing and access. Without clear oversight, PBMs can engage in practices that increase costs for consumers and reduce competition among pharmacies. This bill attempts to address long-standing complaints about PBM practices that drive up out-of-pocket costs and limit pharmacy choice.

Potential points of contention

  • Cost implications: PBMs argue that compliance requirements could increase administrative costs, potentially raising premiums for consumers; consumer advocates counter that transparency would save money by reducing exploitative practices
  • Industry opposition: National PBM associations typically resist state-level regulation as duplicative and burdensome, arguing federal oversight is more appropriate
  • Definition disputes: Disagreement likely over which specific PBM practices should be restricted (e.g., spread pricing, clawbacks, mail-order pharmacy mandates) and whether restrictions adequately balance innovation incentives with consumer protection

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

Sign in to ask a question.