The bill amends Chapters 27-18, 27-19, and 27-20 of the General Laws to establish coverage for pharmacists' services under group health insurance contracts and nonprofit medical service corporations, effective January 1, 2026. It mandates that these health insurance plans provide coverage for services performed by pharmacists that fall within the lawful scope of the "practice of pharmacy" and those provided under a "collaborative practice agreement." Notably, the bill specifies that no nonprofit medical service corporation can require supervision, signature, or referral from another healthcare provider as a condition for reimbursement to pharmacists. Eligible services for payment include patient evaluation and management, medication therapy management, immunization administration, and clinical laboratory test evaluations.

Additionally, the bill requires health plans to include an adequate number of pharmacists in their networks of participating medical providers, clarifying that the participation of pharmacies alone does not satisfy this requirement. Coverage for the outlined benefits is applicable only within the insurer's provider network, although insurers must provide coverage outside the network if necessary services are unavailable. The provisions of this section are set to expire on January 1, 2030, unless extended by the General Assembly. Furthermore, the executive office of health and human services is tasked with applying for any necessary amendments to the state Medicaid plan to implement these changes, with a submission deadline of September 1, 2025. Overall, this legislation aims to enhance the role of pharmacists in patient care by ensuring their services are recognized and reimbursed by health insurance plans.