MA S817

Bill

MA S817

To ensure protections for physicians & hospitals that contract with Medicaid managed care organizations

Introduced
03/29/2021

In Committee
03/29/2021

Crossed Over

Passed

Dead
12/31/2022

Introduced Session

192nd General Court

Bill Summary

For legislation to ensure protections for physicians & hospitals that contract with Medicaid managed care organizations. Health Care Financing.

AI Summary

This bill aims to ensure protections for physicians and hospitals that contract with Medicaid managed care organizations. Specifically, it requires that reimbursement for hospital and physician services provided to Medicaid beneficiaries be subject to negotiation between the providers and the managed care organizations, and not be limited or determined through contracts between the state Executive Office and the managed care organizations, including accountable care organizations and dual-eligible health plans. Additionally, the bill prohibits the state from requiring hospitals to accept the Medicaid fee-for-service rates established by the Office of Medicaid for non-emergency services provided to beneficiaries enrolled in managed care, though the state may require such rates for emergency services only for hospitals not in the managed care organization's network.

Committee Categories

Health and Social Services

Sponsors (1)

Bruce Tarr (R)*,

Last Action

Accompanied a study order, see S2800 (on 03/31/2022)

Official Document

https://malegislature.gov/Bills/192/S817

(9 Companion Bills)

Version:

Document Type	Source Location
State Bill Page	https://malegislature.gov/Bills/192/S817
Bill	https://malegislature.gov/Bills/192/S817.pdf

Bill	Bill Name	Last Action	Type
H1255	Relative to hospital profit transparency and fairness	Accompanied a study order, see H5201	Similar To
H1289	Ensuring protections for physicians and hospitals that contract with Medicaid managed care organizations	Accompanied a study order, see H5201	Similar To
H1318	To update Medicaid resource limits for seniors	No further action taken	Similar To
S1290	Establishing a commission to encourage acceptance of insurance by outpatient mental health providers	Accompanied a study order, see H5229	Similar To
S1291	To improve access to behavioral health services	Ought NOT to pass (under Joint Rule 10) and placed in the Orders of the Day for the next session	Similar To
S1375	Relative to the sustainability of public health dental hygienists through adequate reimbursements	Accompanied H2319	Similar To
S2800	Order relative to authorizing the joint committee on Health Care Financing to make an investigation and study of certain current Senate documents relative to health care financing	Discharged to the committee on Senate Rules	Replaced by
S767	Relative to fiduciary responsibility	Accompanied a study order, see S2800	Similar To
S805	Relative to hospital profit and fairness	Accompanied a study order, see S2800	Similar To

Bill > S817

summary

Introduced Session

Bill Summary

AI Summary

Committee Categories

Sponsors (1)

Last Action

Official Document

bill text

bill summary

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