Massachusetts H 1359: An Act relative to capping the price of epinephrine

Bill Text

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HOUSE DOCKET, NO. 2903 FILED ON: 1/16/2025
HOUSE . . . . . . . . . . . . . . . No. 1359

The Commonwealth of Massachusetts
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PRESENTED BY:
Marjorie C. Decker
_________________
To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:
The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
An Act relative to capping the price of epinephrine.
_______________
PETITION OF:

NAME: DISTRICT/ADDRESS: DATE ADDED:
Marjorie C. Decker 25th Middlesex 1/16/2025
Patrick Joseph Kearney 4th Plymouth 5/8/2025
Estela A. Reyes 4th Essex 5/28/2025

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HOUSE DOCKET, NO. 2903 FILED ON: 1/16/2025
HOUSE . . . . . . . . . . . . . . . No. 1359
By Representative Decker of Cambridge, a petition (accompanied by bill, House, No. 1359) of
Marjorie C. Decker relative to the price of epinephrine. Health Care Financing.

The Commonwealth of Massachusetts

_______________
In the One Hundred and Ninety-Fourth General Court
(2025-2026)
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An Act relative to capping the price of epinephrine.

Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
of the same, as follows:

1 SECTION 1. Subsection (b) of section 26 of chapter 342 of the Acts of 2024, is hereby
2 amended by inserting after the word “members”, the following words:- ; and the following acute
3 condition (i) anaphylaxis.
4 SECTION 2. Subsection (c) of said section 26 of said chapter 342, as so appearing, is
5 hereby amended by inserting after the word “diabetes”, the following words:- and epinephrine
6 delivered via an autoinjector as the drug used to treat anaphylaxis.
7 SECTION 3. Said subsection (c) of said section 26 of said chapter 342, as so appearing,
8 is hereby further amended by inserting after the word “condition”, the following words:- or acute
9 condition.
10 SECTION 4. Said clause (v) of said subsection (c) of said section 26 of said chapter 342,
11 as so appearing, is hereby further amended by inserting after the word “condition”, the following
12 words:- or acute condition.

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13 SECTION 5. Subsection (d) of said section 26 of said chapter 342, as so appearing, is
14 hereby amended by adding the following sentence:- Coverage for 1 brand name of epinephrine
15 delivered via an autoinjector or 1 generic brand of epinephrine delivered via an autoinjector shall
16 not be subject to any deductible or co-insurance and any co-payment shall not exceed $60 for a
17 two-pack of epinephrine autoinjectors.
18 SECTION 6. Subsection (b) of section 28 of chapter 342 of the Acts of 2024, is hereby
19 amended by inserting after the word “enrollees”, the following words:- ; and the following acute
20 condition (i) anaphylaxis.
21 SECTION 7. Subsection (c) of said section 28 of said chapter 342, as so appearing, is
22 hereby amended by inserting after the word “diabetes”, the following words:- and epinephrine
23 delivered via an autoinjector as the drug used to treat anaphylaxis.
24 SECTION 8. Said subsection (c) of said section 28 of said chapter 342, as so appearing,
25 is hereby further amended by inserting after the word “condition”, the following words:- or acute
26 condition.
27 SECTION 9. Said clause (v) of said subsection (c) of said section 28 of said chapter 342,
28 as so appearing, is hereby further amended by inserting after the word “condition”, the following
29 words:- or acute condition.
30 SECTION 10. Subsection (d) of said section 28 of said chapter 342, as so appearing, is
31 hereby amended by adding the following sentence:- Coverage for 1 brand name of epinephrine
32 delivered via an autoinjector or 1 generic brand of epinephrine delivered via an autoinjector shall
33 not be subject to any deductible or co-insurance and any co-payment shall not exceed $60 for a
34 two-pack of epinephrine autoinjectors.

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35 SECTION 11. Subsection (b) of section 31 of chapter 342 of the Acts of 2024, is hereby
36 amended by inserting after the word “enrollees”, the following words:- ; and the following acute
37 condition (i) anaphylaxis.
38 SECTION 12. Subsection (c) of said section 31 of said chapter 342, as so appearing, is
39 hereby amended by inserting after the word “diabetes”, the following words:- and epinephrine
40 delivered via an autoinjector as the drug used to treat anaphylaxis.
41 SECTION 13. Said subsection (c) of said section 31 of said chapter 342, as so appearing,
42 is hereby further amended by inserting after the word “condition”, the following words:- or acute
43 condition.
44 SECTION 14. Said clause (v) of said subsection (c) of said section 31 of said chapter
45 342, as so appearing, is hereby further amended by inserting after the word “condition”, the
46 following words:- or acute condition.
47 SECTION 15. Subsection (d) of said section 31 of said chapter 342, as so appearing, is
48 hereby amended by adding the following sentence:- Coverage for 1 bra