Bill

Bill > H1294


MA H1294

Relative to hospital billing and licensure


summary

Introduced
03/29/2021
In Committee
03/29/2021
Crossed Over
Passed
Dead
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)

bill text


bill summary

Loading...

bill summary

Loading...

bill summary

Loading...