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.

Requires insurers to allow medication sync with pro-rated copays and full dispensing fees; cannot deny partial fills for syncing; aims to boost adherence and lower costs.

Authorizes Arlington to use ranked-choice voting for specified local offices, pending voter approval; uses round-by-round tallies and publishes results to boost transparency.