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Bill > H1295


MA H1295

Limiting out of pocket expenses


summary

Introduced
03/29/2021
In Committee
05/24/2021
Crossed Over
Passed
Dead
12/31/2022

Introduced Session

192nd General Court

Bill Summary

Relative to the maximum amount of deductibles and copayments for covered services for active and retired employees, their dependents and the survivors of deceased public employees. Health Care Financing.

AI Summary

This bill aims to limit the maximum amount of deductibles and copayments for covered services for active and retired public employees, their dependents, and the survivors of deceased public employees. Specifically, it sets a limit of $2,500 for individual coverage and $5,000 for family coverage during an enrollment year. The bill also allows public authorities to increase copayments, deductibles, and other cost-sharing plan design features, but only up to the levels offered by the Group Insurance Commission, the state's public employee health insurance program. Additionally, the bill states that any excess premium payments made by the Commonwealth and its employees and retirees shall remain in the trust fund to be used for paying out-of-pocket expenses above the limitations or improving insurance benefits.

Committee Categories

Health and Social Services, Labor and Employment

Sponsors (1)

Last Action

Accompanied a study order, see H4960 (on 07/05/2022)

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