Bill

Bill > S883


MA S883

To protect qualified medicare beneficiaries from improper billing


summary

Introduced
02/27/2025
In Committee
02/27/2025
Crossed Over
Passed
Dead

Introduced Session

194th General Court

Bill Summary

For legislation to protect qualified Medicare beneficiaries from improper billing. Health Care Financing.

AI Summary

This bill amends Chapter 118E of the General Laws to protect Qualified Medicare Beneficiaries (QMBs) from improper billing by healthcare providers. Specifically, the bill prohibits Medicare, Medicare Advantage, and MassHealth providers from billing QMB-eligible beneficiaries for Medicare Part A or Part B cost-sharing, which includes deductibles, co-pays, and co-insurance. Providers who violate this prohibition will be subject to sanctions, which the division must establish within 90 days of the law taking effect. These sanctions can include monetary fines, but the regulations will also consider mitigating factors such as clerical errors or good-faith mistakes. The bill aims to ensure that low-income Medicare beneficiaries in the QMB eligibility group are not inappropriately charged for medical expenses that should be covered under federal and state law, providing additional financial protection for a vulnerable population.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

House concurred (on 02/27/2025)

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/194/S883
BillText https://malegislature.gov/Bills/194/S883.pdf
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