Massachusetts legislation · 194th General Court
Massachusetts H4346: An Act to ensure access to prescription medications
Status: In committee, June 17, 2026
What the bill says
From the introduced text, July 31, 2025:
SECTION 2. Chapter 176D of the General Laws, is hereby amended by adding, after section 3B, the following section:- Section 3C. (a) For the purposes of this section the term "maximum allowable cost list" shall mean a list of drugs, medical products or devices, or both medical products and devices, for which a maximum allowable cost has been established by a pharmacy benefits manager or covered entity. The term "maximum allowable cost" shall mean the maximum amount that a pharmacy benefits manager or covered entity will reimburse a pharmacy for the cost of a drug or a medical product or device inclusive of all discounts when the claim is processed or taken retroactively (b) Before a pharmacy benefits manager or covered entity may place a drug on a maximum allowable cost list the drug must be listed as "A" or "AB" rated in the most recent version of the FDA's Approved Drug Products with Therapeutic Equivalence Evaluations, also known as the Orange Book, or has an "NR" or "NA" rating or a similar rating by a nationally recognized reference; and that there are at least two therapeutically equivalent, multiple source drugs, or at least one generic drug available from one manufacturer, available for purchase by network pharmacies from national or regional wholesalers. (c) If a drug that has been placed …
Sponsors
- Services, Joint Committee on Financial (I) · primary sponsor
- Alan Silvia (D)
Latest actions
- : Reporting date extended to Friday, July 31, 2026
- : Reporting date extended to Monday, June 15, 2026
- : Reporting date extended to Wednesday, March 18, 2026
- : Reported favorably by committee and referred to the committee on Health Care Financing
- : New draft of H1326
- : Reported from the committee on Financial Services
Votes
- Committee Vote - Joint Committee on Financial Services (July 25, 2025): 11 yea, 0 nay, passed
Common questions
- What is H4346?
- H4346 is a bill in the Massachusetts Legislature (194th General Court): An Act to ensure access to prescription medications.
- What is the status of H4346?
- In committee as of June 17, 2026. Latest action: Reporting date extended to Friday, July 31, 2026 (June 17, 2026).
- Who sponsored H4346?
- Services, Joint Committee on Financial (I), with 1 co-sponsor.
- Where is the official record for H4346?
- On the Massachusetts Legislature website: https://malegislature.gov/Bills/194/H4346
Source: official Massachusetts record. Tracked by Delilah, AI for legislation across all 50 states and Congress.