Bill > S775

This bill modifies existing health insurance regulations by amending Section 9A of chapter 176O of the General Laws to provide more flexibility for health insurance carriers in designing their network plans. Specifically, the bill removes previous restrictions that limited carriers' abilities to create and modify select network plans (networks with a limited group of providers) and tiered network plans (plans that categorize healthcare providers into different cost or quality tiers). Under the proposed changes, carriers would no longer be required to include entire provider groups in a network on an all-or-nothing basis or be forced to place all members of a provider group in the same tier. This modification aims to give insurance companies more discretion in network design, which could potentially lead to more affordable health plan options by allowing carriers to selectively contract with providers based on cost-effectiveness and quality metrics.

Business and Industry, Health and Social Services

https://malegislature.gov/Bills/194/S775