Bill

Bill > S624


MA S624

Relative to an affordable health plan


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 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)

bill text


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