---
type: "Bill"
title: "An Act relative to step therapy and patient safety"
description: "An Act relative to step therapy and patient safety"
jurisdiction: "us/states/ma"
legislature: "Massachusetts General Court"
session: "192nd"
identifier: "H 4929"
citation: "Massachusetts H 4929 (192nd)"
classification: ["bill"]
subjects: []
status: "enacted"
primary_sponsors: ["House Committee on Ways and Means"]
version_count: 1
action_count: 22
vote_count: 0
first_action: "2022-06-28"
last_action: "2022-11-01"
source: "openstates"
source_identifier: "ocd-bill/394461c3-2028-466d-827c-f984e9696353"
source_url: "https://malegislature.gov/Bills/192/H4929"
source_hash: "f64d37c35fdef468cb44dc26dfdb0abcb9ad58c2efe145e5068a5f0a969ade83"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ma"]
---

# Massachusetts H 4929 (192nd) — An Act relative to step therapy and patient safety

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Bill Text** (committee substitute) — [source](https://malegislature.gov/Bills/192/H4929.pdf)

## Sponsors

- House Committee on Ways and Means — primary (person)
- Adam J. Scanlon — cosponsor (person)
- Alice Hanlon Peisch — cosponsor (person)
- Angelo L. D'Emilia — cosponsor (person)
- Bradley H. Jones, Jr. — cosponsor (person)
- Brandy Fluker Oakley — cosponsor (person)
- Brian W. Murray — cosponsor (person)
- Carmine Lawrence Gentile — cosponsor (person)
- Carol A. Doherty — cosponsor (person)
- Carolyn C. Dykema — cosponsor (person)
- Daniel J. Ryan — cosponsor (person)
- Danielle W. Gregoire — cosponsor (person)
- Danillo A. Sena — cosponsor (person)
- David Allen Robertson — cosponsor (person)
- David F. DeCoste — cosponsor (person)
- David M. Rogers — cosponsor (person)
- David Paul Linsky — cosponsor (person)
- Edward R. Philips — cosponsor (person)
- Elizabeth A. Malia — cosponsor (person)
- Hannah Kane — cosponsor (person)
- Jack Patrick Lewis — cosponsor (person)
- James K. Hawkins — cosponsor (person)
- Jason M. Lewis — cosponsor (person)
- Jeffrey N. Roy — cosponsor (person)
- John Barrett, III — cosponsor (person)
- John J. Lawn, Jr. — cosponsor (person)
- Jon Santiago — cosponsor (person)
- Joseph W. McGonagle, Jr. — cosponsor (person)
- Josh S. Cutler — cosponsor (person)
- Kelly W. Pease — cosponsor (person)
- Kenneth I. Gordon — cosponsor (person)
- Lindsay N. Sabadosa — cosponsor (person)
- Marcos A. Devers — cosponsor (person)
- Marjorie C. Decker — cosponsor (person)
- Mark J. Cusack — cosponsor (person)
- Mathew J. Muratore — cosponsor (person)
- Michael S. Day — cosponsor (person)
- Mindy Domb — cosponsor (person)
- Natalie M. Higgins — cosponsor (person)
- Patricia A. Duffy — cosponsor (person)
- Patrick Joseph Kearney — cosponsor (person)
- Patrick M. O'Connor — cosponsor (person)
- Paul F. Tucker — cosponsor (person)
- Richard M. Haggerty — cosponsor (person)
- Ruth B. Balser — cosponsor (person)
- Steven S. Howitt — cosponsor (person)
- Steven Ultrino — cosponsor (person)
- Tami L. Gouveia — cosponsor (person)
- Thomas A. Golden, Jr. — cosponsor (person)
- Thomas M. Stanley — cosponsor (person)
- Tram T. Nguyen — cosponsor (person)
- Tricia Farley-Bouvier — cosponsor (person)
- Vanna Howard — cosponsor (person)
- Walter F. Timilty — cosponsor (person)
- William C. Galvin — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2022-06-28** Reported from the committee on House Ways and Means
- **2022-06-28** Pending new draft of H1311
- **2022-06-28** New draft of H1311
- **2022-06-28** Ordered to a third reading
- **2022-06-29** Rules suspended
- **2022-06-29** Read third `reading-3`
- **2022-06-29** Passed to be engrossed - 153 YEAS to 0 NAYS (See YEA and NAY No. 207 ) `passage`
- **2022-06-30** Read; and referred to the committee on Senate Ways and Means `referral-committee`
- **2022-07-26** Committee recommended ought to pass with an amendment, inserting in place thereof the text of S3056 `committee-passage-favorable`
- **2022-07-26** Rules suspended
- **2022-07-26** Read second `reading-2`
- **2022-07-26** Amended by striking out all after the enacting clause and inserting in place thereof the text of S3056 `amendment-passage`
- **2022-07-26** Ordered to a third reading
- **2022-07-26** Read third `reading-3`
- **2022-07-26** Passed to be engrossed -see Roll Call #221 (Yeas 38 to Nays 0) `passage`
- **2022-07-28** Referred to the committee on Bills in the Third Reading `referral-committee`
- **2022-10-20** House concurred in the Senate amendment with a further amendment, see House document numbered 5358
- **2022-10-24** Rules suspended
- **2022-10-24** Senate concurred in the House further amendment
- **2022-10-24** Enacted `passage`
- **2022-10-24** Enacted and laid before the Governor `passage`
- **2022-11-01** Signed by the Governor, Chapter 254 of the Acts of 2022 `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/394461c3-2028-466d-827c-f984e9696353`. Confidence: reported (aggregated from official Massachusetts legislature records).