summary
Introduced
03/29/2021
03/29/2021
In Committee
03/29/2021
03/29/2021
Crossed Over
Passed
Dead
12/31/2022
12/31/2022
Introduced Session
192nd General Court
Bill Summary
Relative to hospital billing and licensure. Health Care Financing.
AI Summary
This bill aims to regulate hospital billing and licensure practices in Massachusetts. It requires each healthcare entity, including acute care hospitals and physician practices, to obtain a separate license and National Provider Identification (NPI) number for any facility that is located more than 500 yards from the entity's primary licensed facility or has separate utility systems. These "secondary facilities" must also negotiate rates with insurers separately from the primary facility. The bill also prohibits public and private payors from paying claims that are not billed using the NPI number of the specific facility where the services were provided. Existing secondary facilities are exempt from the new licensing requirements, but the Department of Public Health must still determine if there is a need for any new secondary facilities.
Committee Categories
Health and Social Services
Sponsors (1)
Last Action
Accompanied a new draft, see H4248 (on 11/15/2021)
Official Document
bill text
bill summary
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bill summary
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bill summary
Document Type | Source Location |
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State Bill Page | https://malegislature.gov/Bills/192/H1294 |
Bill | https://malegislature.gov/Bills/192/H1294.pdf |
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