
Massachusetts Gov. Maura Healey’s prescription drug tax plan not sitting well with likely voters
Massachusetts residents are sick and tired of paying taxes, and a new poll shows strong opposition from likely voters on Gov. Maura Healey’s proposal to reinstitute a long-dormant fee on prescription drugs.
The Fiscal Alliance Foundation, a nonpartisan watchdog nonprofit, has found that Healey’s plan to impose a new “pharmacy assessment” tax on prescription drugs is being met with “staggering disapproval.”
Roughly 83% of the 800 likely voters who participated in a poll earlier this month opposed the proposal, with just 6% in favor. Of the respondents, 48.2% were Independent, 40.6% Democrat and 11.1% Republican.
Likely voters are having difficulty getting behind Healey’s proposal to triple the vehicle excise tax, with 78% of respondents in opposition. A majority also indicated they’d completely support repealing the state’s estate and vehicle excise taxes.
“We see a real strong thread of anti-tax sentiment,” pollster Jim Eltringham said in a Friday briefing. “When you start talking about the possibility of new taxes that’s when you really start seeing some strong reactions. … It’s not overly surprising, especially given the economic environment in general, to have people say ‘That’s enough.’”
In her proposed $62 billion budget for the 2026 fiscal year, Healey buried her administration’s plan to reestablish a “pharmacy assessment” on all prescription drugs sold in the Bay State.
The assessment would see pharmacies charged 6% per prescription or $2 per, whichever is less. The budget doesn’t refer to the assessment as a tax. Instead, it says the cost would be added as a “broad-based healthcare-related fee” due quarterly.
Pharmacies that fail to comply with the plan could face fines of up to $25,000, or even risk losing their licenses.
Fiscal Alliance Executive Director Paul Diego Craney said last month that he believes the governor’s plan would result in patients paying higher costs at a time when they’re already struggling to pay too much on other essential goods.
In the poll released Friday, 81% of the likely voters asserted they believe Attorney General Andrea Campbell should enforce an audit of the state legislature. Last November, 72% of voters approved Auditor Diana DiZoglio’s request for the audit, but Beacon Hill leaders are refusing to comply with the new law.
“These are very strong feelings by the voters,” Craney said in a statement. “It’s nearly impossible to hit 80% in a poll and the Governor and Attorney General better pay attention.”
According to information from the state Executive Office of Health and Human Services, the $2 per prescription charge could generate up to $145 million in fees each year. At the same time, the Healey Administration doesn’t expect patients to see any financial impact from the plan as insurers set the prescription copays, not pharmacists.
The money raised would help fund MassHealth and be used to help prevent pharmacy closures in low-income neighborhoods, where people are more likely to be enrolled in a MassHealth program.
This is not the first time the state has considered charging pharmacies for prescriptions. The state Legislature approved a plan in 2002 to charge $1.30 per prescription which went into effect in January 2003.
The law was enforced for about half a year until Massachusetts Superior Court Judge Allan van Gestel overturned it the following summer, ruling that the state had failed to follow the proper procedures for tax implementation and never secured required federal approval of their plan.