Massachusetts

In Review: The Massachusetts Division of Insurance (DoI) held its second PBM licensure meeting to review the licensing process and standards. PCMA members participated in the call with the DoI, providing feedback during the discussion on drafting rules. A final

In Review: PCMA met virtually with Commissioner Michael Caljouw from the Massachusetts Division of Insurance (DoI). We discussed the role of the PBM in contracting with drug manufacturers and pharmacies. The DoI is working on draft rules for PBM licensing

In Review: PCMA presented at the Division of Insurance’s (DoI) Health Information Session on PBMs. Commissioner Michael Caljouw introduced himself to the attendees, while Deputy Commissioner Kevin Beagan moderated the session. The DoI’s questions focused on how PBMs contract with

In Review: Governor Maura Healey (D) signed S 3012, which requires PBMs and drug manufacturers to participate in the Health Policy Commission’s newly formed Office for Pharmaceutical Policy and Analysis. The bill also requires drug manufacturers and PBMs to participate

In Review: The Massachusetts legislature passed a healthcare bill on the eve of adjournment for the legislative session. The bill established the Office for Pharmaceutical Policy and Analyses within the Health Policy Commission to include PBMs and pharmaceutical companies in

In Review: The Massachusetts legislature adjourned early Thursday morning with no PBM bill advancing. PCMA had been heavily lobbying bills banning spread pricing, 80% point-of-sale rebates, and MAC appeals. PCMA’s Save Our Benefits Massachusetts was instrumental in our lobbying efforts,

In Review: The House drug pricing bill was released on Monday, with the ban on spread pricing being the top priority. We are also working to strike or mitigate other provisions, such as point-of-sale rebates and MAC appeals. The bill

In Review: PCMA’s Save Our Benefits Massachusetts placed a recent Boston Herald op-ed promoting PBMs’ work for unions or union benefit funds that cover health insurance for their members or for retired workers. The piece was authored by Robert Rizzi,

In Review: PCMA’s Save Our Benefits Massachusetts labor members recently sent a letter to legislative leadership raising concerns about protecting ERISA plans and preserving plan choices. Some local press picked up the letter, and our labor members are bringing this

In Review: PCMA met with Representative Marjorie Decker (D), who is the House Chair of the Joint Committee on Public Health. We discussed the value PBMs bring to the market and the Group Insurance Commission (GIC), which is the state’s