Bill
Bill > H948
MA H948
Requiring prospective payment system methodology for reimbursement to community health centers
summary
Introduced
02/16/2023
02/16/2023
In Committee
02/22/2024
02/22/2024
Crossed Over
Passed
Dead
12/31/2024
12/31/2024
Introduced Session
193rd General Court
Bill Summary
Relative to the rate of payment for certain federally qualified health center services provided to patients by community health centers. Financial Services.
AI Summary
This bill requires that the rate of payment for Federally Qualified Health Center (FQHC) services provided by community health centers be reimbursed through a methodology that conforms with federal Medicaid law. Specifically, it mandates that the Massachusetts Commission on Community Health Centers and various health insurance providers in the state ensure that FQHC services are reimbursed in accordance with the prospective payment system methodology outlined in Sections 1396a(bb) and 1396b(m)(2)(A)(ix) of Title 42 of the United States Code. The bill also clarifies that insurers are not required to reimburse for healthcare services that are not covered benefits under their plans or for providers that are not contracted with the plan, with certain exceptions.
Committee Categories
Business and Industry, Health and Social Services
Sponsors (27)
Natalie Blais (D)*,
Dan Cahill (D),
Pete Capano (D),
Tackey Chan (D),
Jo Comerford (D),
John Cronin (D),
Rodney Elliott (D),
Dylan Fernandes (D),
Chris Flanagan (D),
Jim Hawkins (D),
Natalie Higgins (D),
Kevin Honan (D),
Vanna Howard (D),
Mary Keefe (D),
Meghan Kilcoyne (D),
Mike Kushmerek (D),
David LeBoeuf (D),
Jack Lewis (D),
Rady Mom (D),
Susan Moran (D),
Brian Murray (D),
Jim O'Day (D),
Becca Rausch (D),
Estela Reyes (D),
Lindsay Sabadosa (D),
Tom Stanley (D),
Susannah Whipps (I),
Last Action
Accompanied a study order, see H4634 (on 05/09/2024)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://malegislature.gov/Bills/193/H948 |
| BillText | https://malegislature.gov/Bills/193/H948.pdf |
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