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Bill

S 831

An Act to ensure access to prescription medication and community pharmacies

194th Legislature (2025-2026) Introduced by Peter Durant and 1 co-sponsor

Protects community pharmacy access and viability by establishing reimbursement standards and insurance coverage requirements to prevent medication access gaps in Massachusetts.

Accompanied a study order, see S3067
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Bill Summary · S 831

Legislative bill overview

S 831 aims to protect patient access to prescription medications and maintain the viability of community pharmacies in Massachusetts. The bill addresses concerns about pharmacy reimbursement rates, insurance coverage restrictions, and market consolidation that may limit medication access in underserved areas.

Why is this important

Community pharmacies serve as essential healthcare access points, particularly in rural and low-income neighborhoods where larger chains may not operate. Inadequate reimbursement rates and restrictive insurance practices have forced many independent pharmacies to close, reducing medication access and eliminating local healthcare employment. This bill seeks to preserve that infrastructure while ensuring patients can afford and obtain necessary medications.

Potential points of contention

  • Reimbursement mandates: Requirements that insurers reimburse pharmacies at higher rates may increase health insurance premiums for consumers
  • Market intervention scope: Defining which pharmacies qualify for protections and what constitutes unfair reimbursement practices could be legally and administratively complex
  • Insurance industry impact: Health insurers may argue that pharmacy consolidation reflects legitimate business efficiency and that mandates limit their cost-control mechanisms

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

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