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Bill > H4268


MA H4268

MA H4268
Relative to fair and equitable compensation for medical services


summary

Introduced
11/10/2021
In Committee
03/30/2022
Crossed Over
Passed
Dead
12/31/2022

Introduced Session

192nd General Court

Bill Summary

Relative to fair and equitable compensation for medical services. Financial Services.

AI Summary

This bill aims to ensure fair and equitable compensation for medical services in Massachusetts. It prohibits health insurance carriers from reducing the payment rate for evaluation, management, or procedural services solely because the provider also billed for other health care services on the same day. Additionally, for health plans where the carrier or utilization review organization only provides administrative services, their obligations related to payment are limited to recommending that coverage be authorized to the third-party payor.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (1)

Last Action

Accompanied a study order, see H5222 (on 09/15/2022)

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