S 781 Massachusetts Senate · 194th Legislature (2025-2026)

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

SD 1554 requires health insurance plans in the state to cover partial prescription fills for medication synchronization when a prescriber or pharmacist deems it medically appropriate and the patient agrees. It prohibits insurers from denying coverage or applying pro-rated cost-sharing for such partial supplies, and mandates pharmacies to override system denials for this purpose. The bill also bans insurers from using pro-rated dispensing fees, requiring full payment for each partial fill regardless of patient copay amounts. This directly affects patients needing synchronized medications, pharmacists dispensing partial prescriptions, and health insurers managing coverage policies. The law aims to improve medication adherence and reduce costs by removing insurance barriers to flexible prescription scheduling.
Bill status passed 3 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Jan 2026
House Passage
Feb 2025
Governor
Introduced Feb 27, 2025 Last action Feb 26, 2026
Floor votes

How they voted

This bill passed the House. No roll call record of that vote is available.
Full legislative history

Actions timeline

Total actions
5
Key actions
2
Committee
2
Jan 12, 2026
Upper · Passed
Bill reported favorably by committee and referred to the committee on Health Care Financing
upper
Feb 27, 2025
Lower · Passed
House concurred
lower
Feb 27, 2025
Committee
Referred to the committee on Financial Services
upper
1 primary · 1 co-sponsor

Sponsors