Bill > S764

This bill aims to ensure prompt access to healthcare by amending several chapters of Massachusetts General Laws to require that reimbursement for medically appropriate evaluation and management services in outpatient settings (such as office-based and hospital-based clinics) be included as a basic benefits package without co-payments or deductibles. The bill applies to multiple types of insurance providers, including state employee health insurance (Chapter 32A), municipal employee health insurance (Chapter 32B), health insurance companies (Chapter 175), nonprofit hospital service corporations (Chapter 176A), medical service corporations (Chapter 176B), and health maintenance organizations (Chapter 176G). The only exception to the no co-payment/no deductible requirement is for insurance plans governed by the Federal Internal Revenue Code that would lose their tax-exempt status if such a prohibition were implemented. By standardizing this requirement across different types of health insurance providers, the bill seeks to reduce financial barriers to accessing essential medical evaluation and management services in outpatient settings.

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https://malegislature.gov/Bills/194/S764