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Bill

H 4493

An Act to ensure access to prescription medication and community pharmacies

194th Legislature (2025-2026) Introduced by Carole Fiola and 1 co-sponsor

Massachusetts bill restricts pharmacy benefit manager practices to protect community pharmacy access and viability through regulatory measures and reimbursement standards.

Reporting date extended to Friday, July 31, 2026
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Bill Summary · H 4493

Legislative bill overview

H 4493 aims to protect access to prescription medications and maintain the viability of community pharmacies in Massachusetts, likely by imposing restrictions on pharmacy benefit managers (PBMs) or insurance practices that disadvantage independent pharmacies. The bill addresses concerns that pharmacy closures and PBM practices limit patient access to convenient medication services, particularly in underserved areas.

Why is this important

Community pharmacy closures have accelerated nationwide, leaving rural and urban neighborhoods without accessible medication services and reducing competition in pharmaceutical distribution. This bill attempts to preserve the community pharmacy sector by potentially regulating PBM reimbursement rates, formulary practices, or other business arrangements that force smaller pharmacies out of business. The outcome directly affects where patients can obtain medications and the availability of pharmacist services in their communities.

Potential points of contention

  • PBM regulation scope: Business groups and large pharmacy chains may argue that regulating PBM practices increases costs or limits their operational flexibility, while patient advocates contend current practices are predatory
  • Cost implications: Mandating higher reimbursement rates or limiting PBM practices could increase insurance premiums or reduce savings, creating tension between pharmacy preservation and affordability
  • Market competition concerns: Some argue independent pharmacies need protection from consolidation; others contend market forces should determine which pharmacies survive

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

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