MA H1294

Bill

Relative to hospital billing and licensure

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)

Paul Mark (D)*,

Last Action

Accompanied a new draft, see H4248 (on 11/15/2021)

Official Document

https://malegislature.gov/Bills/192/H1294

(9 Companion Bills)

Version:

Document Type	Source Location
State Bill Page	https://malegislature.gov/Bills/192/H1294
Bill	https://malegislature.gov/Bills/192/H1294.pdf

Bill	Bill Name	Last Action	Type
H1314	Relative to the Community Hospital Reinvestment Trust Fund	Accompanied a study order, see H5201	Similar To
H4248	Enhancing the market review process	New draft substituted, see H4253	Replaced by
S1376	Relative to safe patient handling and mobility in certain health facilities	Accompanied a new draft, see S2613	Similar To
S1429	Preserving access to essential health services in a state of emergency	Accompanied a study order, see S2772	Similar To
S754	Relative to the closing of hospital essential services	Accompanied a study order, see S2917	Similar To
S760	To reduce racial and ethnic health disparities through commercial rate equity for safety net hospitals	Accompanied a study order, see S2917	Similar To
S784	To assist community hospitals	Accompanied a study order, see S2917	Similar To
S796	To support disproportionate share hospitals	Accompanied a study order, see S2800	Similar To
S805	Relative to hospital profit and fairness	Accompanied a study order, see S2800	Similar To

Bill > H1294

MA H1294

summary

Introduced Session

Bill Summary

AI Summary

Committee Categories

Sponsors (1)

Last Action

Official Document

bill text

bill summary

bill summary

bill summary