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.

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.

Private act waives age limit for William Pilleri to take Arlington firefighter exam; one-time exception, sunset 6/1/2029; not a general rule.

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