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Bill > H963


MA H963

Ensuring consumer choice of health care providers


summary

Introduced
01/22/2019
In Committee
01/22/2019
Crossed Over
Passed
Dead
12/31/2020

Introduced Session

191st General Court

Bill Summary

For legislation to require that accountable care organizations have a clear and transparent process to accept or deny certain health care providers. Financial Services.

AI Summary

This bill aims to ensure consumer choice of health care providers by requiring accountable care organizations (ACOs) to have a clear and transparent process for accepting or denying certain health care providers in their networks. The bill prohibits ACOs from excluding providers licensed in the state from participating in their networks, as long as the providers are willing to meet the ACO's established terms and conditions of participation. If an ACO denies a provider's request to join its network, the ACO must provide the provider with a written explanation detailing the specific terms and conditions the provider does not satisfy. The Office of Patient Protection is empowered to enforce the provisions of this bill.

Committee Categories

Business and Industry

Sponsors (4)

Last Action

Accompanied a study order, see H5160 (on 12/01/2020)

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