Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H4043

Introduced
4/22/25  

Caption

Relative to copay assistance for medications

Summary

This bill would add a new section to Chapter 175H of the Massachusetts General Laws to authorize copay assistance programs for medications. It defines a copay assistance program as financial help that reduces patients’ out-of-pocket healthcare costs, and it allows manufacturers of both branded and generic medications to offer such programs to all Massachusetts residents, subject to federal law. The bill requires manufacturers that offer these programs to notify the Department of Public Health and provide detailed descriptions and eligibility criteria. It also directs the department to make information about copay assistance programs readily available to the public and healthcare providers. In addition, the bill states that manufacturers of generic medications and their suppliers may not be fined or penalized for participating in a copay assistance program.

Impact

If enacted, the bill would create a new statutory framework governing medication copay assistance in Massachusetts by expressly permitting these programs and setting disclosure and access requirements. It would affect drug manufacturers, including both branded and generic manufacturers, as well as the Department of Public Health, which would take on an informational role. The bill would also protect generic manufacturers and their suppliers from fines or penalties related to participation in these programs, while preserving any limits required by federal law.

Sentiment

Based on the bill text and the absence of recorded committee testimony or votes, the measure appears to be framed as a consumer-access and affordability bill with a generally supportive policy posture. Its stated purpose is to help patients afford medications and improve transparency around available assistance programs. There is no recorded opposition in the provided materials, but the inclusion of federal-law limits and the specific treatment of generic manufacturers suggests the bill is designed to avoid conflicts with existing insurance and pharmaceutical rules.

Contention

The main potential points of contention are likely to involve how copay assistance interacts with insurance coverage rules, federal law, and pharmaceutical pricing practices. Insurers or pharmacy benefit managers could view broad availability of copay assistance as affecting cost-sharing structures, while manufacturers may focus on compliance burdens from the notification and disclosure requirements. Another possible issue is the bill’s explicit protection for generic manufacturers and their suppliers from fines or penalties, which may raise questions about how participation is regulated and whether branded and generic products are being treated differently.

Companion Bills

MA H4789

Replaced by Study Order

Previously Filed As

MA H1080

Relative to copay assistance

MA H4789

Study Order

MA H4583

Relative to the city of Salem harbormaster and assistant harbormasters

MA H7462

Codifies child care copayments in law, expand zero copays to families under 125% FPL, lower costs for working families, and cap most copayments at 6% while preserving a 7% statutory maximum.

MA H1305

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

MA S781

To help patients and reduce healthcare costs by ensuring patient adherence to medications

MA H4496

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

MA HB1564

In public assistance, further providing for copayments for subsidized child care.

MA H1322

Ensuring access to specialty medications

MA SB864

HELP Copays Act Help Ensure Lower Patient Copays Act

Similar Bills

No similar bills found.