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 increase enrollment in affordable health plan networks. Financial Services.
AI Summary
This bill aims to modify existing health insurance regulations to increase enrollment in affordable health plan networks by introducing several key provisions. Specifically, the bill allows the commissioner to exempt health insurance carriers from certain compliance requirements under certain conditions, such as if the majority of their membership is enrolled in a single rate region, receives subsidized coverage, or if the carrier derives 80% or more of its income from government programs. Additionally, the bill modifies regulations regarding network plans by removing restrictions that currently limit carriers' flexibility in designing select and tiered network plans. These changes would enable insurance carriers to introduce or modify network plans more freely, without being required to include entire provider groups in the same tier or network on an "all-or-nothing" basis. The goal appears to be providing insurance companies more administrative flexibility, potentially allowing them to create more cost-effective and tailored health plan networks that could make insurance more affordable and accessible to consumers.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
Accompanied a new draft, see H4955 (on 01/28/2026)
Official Document
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/H1299 |
| BillText | https://malegislature.gov/Bills/194/H1299.pdf |
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