Bill > S803

This bill requires various health insurance providers and government health programs in Massachusetts to cover annual executive physical examinations for active and retired Commonwealth employees, as well as for residents and employees with a principal place of employment in the state. Specifically, the bill amends multiple chapters of Massachusetts General Laws to mandate that the Group Insurance Commission, Medicaid and its contracted insurers, individual and group health insurance policies, hospital service plans, medical service agreements, and health maintenance organizations must provide coverage for an annual executive physical exam. An important provision is that reimbursement for these exams conducted in an inpatient setting must be provided separately from standard hospital payment for inpatient services. The changes will apply to all health insurance policies, contracts, and certificates that are delivered, issued, or renewed on or after September 1, 2026, ensuring a uniform implementation across different types of health coverage in the state. This legislation aims to improve access to comprehensive preventative healthcare for Commonwealth employees and residents by standardizing coverage for annual executive physical examinations.

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https://malegislature.gov/Bills/194/S803