Massachusetts legislation · 194th General Court
Massachusetts H4494: An Act prohibiting PBMs from discriminating against hospitals and patients participating in the 340B drug discount program
Status: In committee, June 17, 2026
What the bill says
From the introduced text, September 18, 2025:
SECTION 1. Chapter 176O of the General Laws is hereby amended by adding the following section:- Section 31. (a) In this section “340B covered entity” means an entity participating in the federal 340B drug discount program, as described in 42 U.S.C. § 256b, including its pharmacy or pharmacies, or any pharmacy or pharmacies, contracted with the participating entity to dispense drugs purchased through such program. (b) A pharmacy benefit manager or other third party that reimburses a 340B covered entity for drugs shall not: (1) reimburse the 340B covered entity for a drug at a rate lower than that paid for the same drug to entities that are not 340B covered entities; (2) assess any fee, charge-back, or other adjustment on the 340B covered entity on the basis that the covered entity participates in the 340B program; (3) restrict participation in a pharmacy or provider network based on an entity’s status as a 340B covered entity; (4) require the 340B covered entity to enter into a contract with a specific pharmacy to participate in the pharmacy benefit manager or third party’s pharmacy or provider network; (5) require a claim for a drug to include a modifier, supplemental transmission, to indicate that the drug is a 340B drug, or any other method of identifying the claim for a 340B drug, unless …
Sponsors
- Services, Joint Committee on Financial (I) · primary sponsor
- Brian Murray (D, 10th Worcester)
- James Eldridge (D, Middlesex and Worcester)
- Michael Moore (D, Second Worcester)
- Justin Thurber (R)
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 H1274
- : 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 H4494?
- H4494 is a bill in the Massachusetts Legislature (194th General Court): An Act prohibiting PBMs from discriminating against hospitals and patients participating in the 340B drug discount program.
- What is the status of H4494?
- In committee as of June 17, 2026. Latest action: Reporting date extended to Friday, July 31, 2026 (June 17, 2026).
- Who sponsored H4494?
- Services, Joint Committee on Financial (I), with 4 co-sponsors.
- Where is the official record for H4494?
- On the Massachusetts Legislature website: https://malegislature.gov/Bills/194/H4494
Source: official Massachusetts record. Tracked by Delilah, AI for legislation across all 50 states and Congress.