H1305 • 2025

An Act to help patients and reduce health care costs by ensuring patient adherence to medications

Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor: Daniel J. Ryan
Last action: 2025-09-18
Official status: Accompanied a new draft, see H4496
Effective date: Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

An Act to help patients and reduce health care costs by ensuring patient adherence to medications

An Act to help patients and reduce health care costs by ensuring patient adherence to medications By Representative Ryan of Boston, a petition (accompanied by bill, House, No.

What This Bill Does

An Act to help patients and reduce health care costs by ensuring patient adherence to medications By Representative Ryan of Boston, a petition (accompanied by bill, House, No.
1305) of Daniel J.
Ryan relative to further regulating individual or group health insurance policies providing prescription drug coverage.
Financial Services.

Limits and Unknowns

This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

2025-09-18 House
Accompanied a new draft, see H4496
2025-06-03 Joint
Hearing scheduled for 06/10/2025 from 10:30 AM-01:00 PM in A-2
2025-02-27 House
Referred to the committee on Financial Services
2025-02-27 Senate
Senate concurred

Official Summary Text

An Act to help patients and reduce health care costs by ensuring patient adherence to medications
By Representative Ryan of Boston, a petition (accompanied by bill, House, No. 1305) of Daniel J. Ryan relative to further regulating individual or group health insurance policies providing prescription drug coverage. Financial Services.

Current Bill Text

Read the full stored bill text

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Bill H.1305

SECTION 1. An individual or group health insurance policy providing prescription drug coverage in the state must permit and apply a pro-rated daily cost-sharing rate to prescriptions that are dispensed by a network pharmacy for a partial supply if the prescriber or pharmacist determines the fill or refill to be in the best interest of the patient and the patient requests or agrees to a partial supply for the purpose of synchronizing the patient’s medications.

No individual or group health insurance policy providing prescription drug coverage shall deny coverage for the dispensing of a medication that is dispensed by a network pharmacy on the basis that the dispensing is for a partial supply if the prescriber or pharmacist determines the fill or refill to be in the best interest of the patient and the patient requests or agrees to a partial supply for the purpose of synchronizing the patient’s medications. The individual or group health plan must allow a pharmacy to override any denial codes indicating that a prescription is being refilled too soon for the purposes of medication synchronization.

No individual or group health insurance policy providing prescription drug coverage shall use payment structures incorporating pro-rated dispensing fees. Dispensing fees for partially filled or refilled prescriptions shall be paid in full for each prescription dispensed, regardless of any pro-rated copay for the beneficiary or fee paid for alignment services.

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