Massachusetts legislation · 194th General Court
Massachusetts H4490: An Act prohibiting discrimination against 340b drug discount program participants
Status: In committee, June 17, 2026
What the bill says
From the introduced text, September 18, 2025:
SECTION 1. Chapter 32A of the General Laws is hereby amended by inserting after Section 34 the following new section:- Section 35 (a) DEFINITIONS. For purposes of this section: (1) “340B-covered entity”, has the same meaning as that set forth in section 256b(a)(4) of Title 42 of the United States Code. (2) “Contract pharmacy” means a pharmacy operating under contract with a 340B-covered entity to provide dispensing services to the 340B-covered entity as described in 75 Fed. Reg. 10,272 (Mar. 5, 2010). (3) “Drug coverage” means: (i) An insurance company organized under this Chapter providing reimbursement for covered outpatient drugs, accepting any Medicaid insurance plan of the Commonwealth as defined in G. L. c. 118E or other applicable laws governing Medicaid in the Commonwealth; (ii) Notwithstanding the foregoing, the term “drug coverage” does not include any amounts paid by an individual on his or her own behalf or on behalf of another individual. (b) TERMS OF AGREEMENTS. No drug coverage that reimburses a-340B-covered entity or its contract pharmacy for drugs that are subject to an agreement under section 256b(a)(1) of Title 42 of the United States Code: (i) Shall reimburse a covered entity or contract pharmacy for a quantity of a 340B drug in an amount less than such plan, issuer, or manager would pay to any other similarly situated …
Sponsors
- Services, Joint Committee on Financial (I) · primary sponsor
- Daniel Cahill (D, 10th Essex)
- Russell Holmes (D, 6th Suffolk)
- Sean Reid (D)
- Carlos González (D, 10th Hampden)
- Lindsay Sabadosa (D, 1st Hampshire)
- Estela Reyes (D)
- Hadley Luddy (D)
- Tarr, Andrew (D, 5th Essex)
- Natalie Higgins (D, 4th Worcester)
- John Moran (D, 9th Suffolk)
- James Hawkins (D, 2nd Bristol)
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 H1107
- : Reported from the committee on Financial Services
Votes
- Committee Vote - Joint Committee on Financial Services (September 8, 2025): 11 yea, 0 nay, passed
Common questions
- What is H4490?
- H4490 is a bill in the Massachusetts Legislature (194th General Court): An Act prohibiting discrimination against 340b drug discount program participants.
- What is the status of H4490?
- In committee as of June 17, 2026. Latest action: Reporting date extended to Friday, July 31, 2026 (June 17, 2026).
- Who sponsored H4490?
- Services, Joint Committee on Financial (I), with 11 co-sponsors.
- Where is the official record for H4490?
- On the Massachusetts Legislature website: https://malegislature.gov/Bills/194/H4490
Source: official Massachusetts record. Tracked by Delilah, AI for legislation across all 50 states and Congress.