H4043 — An Act relative to copay assistance for medications

Summary

An Act relative to copay assistance for medications

Bill Text

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The bill establishes a new section that permits copay assistance programs for medications in Massachusetts, outlining conditions for participation and requirements for manufacturers.

• Chapter 175H

  Section 3A. (a) For the purposes of this section, the following words shall, unless the context clearly requires otherwise, have the following meanings: “Copay assistance program”, a type of financial assistance program that helps patients pay for their out-of-pocket costs related to healthcare services. “Department”, the department of public health pursuant to chapter 111. (b) Notwithstanding any general or special law to the contrary, a copay assistance program offered by manufacturers of both branded and generic medications shall be permitted for all residents of the commonwealth, subject to the following conditions: (1) Copay assistance programs shall be made available to all patients prescribed the medication, regardless of the insurance status of the patient, unless otherwise prohibited by federal law. (2) Manufacturers offering copay assistance programs shall notify the department the availability of such programs, including detailed program descriptions and eligibility criteria. (3) The department shall ensure that information regarding copay assistance programs are readily available to the public and healthcare providers. (4) Manufacturers of generic medications and their suppliers shall not be subject to any fines or penalties for participating in the copay assistance program.

  This addition creates a framework for copay assistance programs, allowing all residents access to help with out-of-pocket medication costs and detailing the obligations of manufacturers and the department of public health.

Sponsors

• Manny Cruz · Primary

Subjects