summary
Introduced
02/27/2025
02/27/2025
In Committee
02/27/2025
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)
Official Document
bill text
bill summary
Loading...
bill summary
Loading...
bill summary
Document Type | Source Location |
---|---|
State Bill Page | https://malegislature.gov/Bills/194/S883 |
BillText | https://malegislature.gov/Bills/194/S883.pdf |
Loading...