Bill > S638

This bill aims to limit out-of-pocket health expenses for active and retired employees, their dependents, and the survivors of deceased employees in Massachusetts. The key provisions include: 1. Setting a maximum of $2,500 for individual coverage and $5,000 for family coverage on deductibles and copayments for covered services during an enrollment year in a plan. 2. Requiring that public authorities, such as municipalities, adhere to the same plan design features and cost-sharing limits as the state's Group Insurance Commission (GIC) for non-Medicare and Medicare plans. 3. Allowing any excess premium payments made by the Commonwealth and/or its employees to remain in the trust fund, to be used for paying out-of-pocket costs in excess of the established limitations or reducing the employees' share of the annual premium in the event of a deficiency. The overall goal of this bill is to provide financial relief and protect Massachusetts residents from high out-of-pocket healthcare costs, ensuring more affordable access to necessary medical services.

Business and Industry, Health and Social Services

https://malegislature.gov/Bills/193/S638