Bill > S916

This bill introduces several key provisions to enhance the analysis and regulation of state health insurance mandates and costs. First, it modifies existing law to provide a comprehensive definition of a "mandated health benefit proposal," which includes mandating insurance coverage for specific health services, prescription drugs, or providers; setting reimbursement rates; limiting cost-sharing; and restricting utilization management practices. The bill requires that any state agency proposing a new mandated health benefit must request a review and evaluation from the Center of Health Information and Analysis, with the report being made publicly available at least 30 days before any public hearing. Additionally, the bill allows the commissioner of insurance to approve health insurance policies for eligible individuals and small businesses, including those that provide essential health benefits as defined by the Affordable Care Act. Most notably, the bill establishes a moratorium on enacting new mandated health benefit legislation until the state's total health care expenditure growth meets the established healthcare cost growth benchmark. This approach aims to control healthcare costs by pausing the introduction of new mandates that could potentially increase expenses for insurers and consumers.

Health and Social Services

https://malegislature.gov/Bills/194/S916