summary
Introduced
01/22/2019
01/22/2019
In Committee
01/22/2019
01/22/2019
Crossed Over
Passed
Dead
12/31/2020
12/31/2020
Introduced Session
191st General Court
Bill Summary
For legislation relative to an affordable health plan. Financial Services.
AI Summary
This bill aims to create an "Affordable Health Plan" in Massachusetts. The key provisions are:
1. Requires health insurance carriers in the state to offer an Affordable Health Plan that provides benefits equivalent to the lowest-level plan available in the state's health insurance marketplace, with payment to providers set at 110% of the Medicare reimbursement rate.
2. Prohibits providers from balance billing individuals enrolled in the Affordable Health Plan and from increasing charges to other payers to recoup losses from the lower reimbursement rates.
3. Requires existing contracts between providers and carriers to comply with the reimbursement rate requirements for the Affordable Health Plan, and prohibits providers from refusing to participate in the Affordable Health Plan if they are already in the carrier's network.
4. Repeals an existing section of the state's insurance laws related to the pricing of small group and individual health plans.
5. Specifies that the repeal of the existing law will take effect on January 1, 2018.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
Accompanied a study order, see S2543 (on 02/18/2020)
Official Document
bill text
bill summary
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bill summary
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bill summary
Document Type | Source Location |
---|---|
State Bill Page | https://malegislature.gov/Bills/191/S624 |
Bill | https://malegislature.gov/Bills/191/S624.pdf |
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