Bill > H1309

This bill mandates that reimbursement for medically appropriate evaluation and management services in outpatient settings (such as office and hospital-based clinics) be included as a basic benefits package by insurers without requiring a deductible. The bill amends multiple chapters of Massachusetts General Laws, including Chapters 32A, 32B, 175, 176A, 176B, and 176G to ensure consistent coverage across different types of insurance plans. The coverage will be guided by guidelines developed by the division of insurance, with a key exception: if a health plan is governed by the Federal Internal Revenue Code and would lose its tax-exempt status by waiving deductibles, then deductibles would be required for these services. This legislation aims to improve healthcare access by eliminating financial barriers to routine medical evaluations and management services in outpatient settings, potentially making preventive and ongoing medical care more affordable and accessible for Massachusetts residents.

Business and Industry

https://malegislature.gov/Bills/194/H1309