Bill > H1227

This bill aims to promote health equity and access through commercial rate equity for high Medicaid safety net acute hospitals that predominantly serve communities experiencing health disparities due to race, ethnicity, socioeconomic status, or other factors. The bill requires that for all commercial insured health benefit plan rates effective from January 1, 2023 onwards, the carrier's network provider reimbursement rates, including those within alternative payment contracts, must reimburse these high Medicaid acute hospitals at or greater than the carrier's statewide average commercial relative price calculated separately for inpatient and outpatient services. Carriers must annually certify and provide hospital-specific evidence to the Division of Insurance that each high Medicaid acute hospital's rates meet this minimum threshold. The bill gives the Commissioner of Insurance the authority to disapprove any plans that do not meet these requirements.

Health and Social Services

https://malegislature.gov/Bills/193/H1227