Moves to curb PBMs in Massachusetts to expand pharmacy access by ensuring payment parity, banning steering and retroactive discounts, and mandating MAC transparency and updates.

Massachusetts bill blocks nonmedical switching by health plans for patients stable on a drug, guarantees continuous coverage, and streamlines medical exemption decisions.

Requires a separate prescription drug out-of-pocket limit in MA health plans, capped at the HDHP minimum annual deductible, protecting patients from high drug costs starting 2026.

Prohibits payers, manufacturers, and distributors from discriminating against 340B entities and contract pharmacies, protecting patient choice and access to 340B drugs.

Extends Howard Boyden’s Conway fire dept service to age 70 under annual medical exams, with no pension deductions after age 65 for that service.