Bill > H1298

This bill proposes two key modifications to health insurance regulations in Massachusetts. First, it allows the insurance commissioner to exempt health carriers from certain compliance requirements under specific conditions, such as if the majority of their membership is enrolled in a single rate region, if most members are in subsidized coverage, or if the carrier receives 80% or more of its income from government programs. Second, the bill changes rules about network plans by removing restrictions that currently limit how insurance carriers can design and modify select network plans or tiered network plans. Specifically, the bill eliminates provisions that would require carriers to include entire provider groups in a network on an "all-or-nothing" basis or mandate that all members of a provider group be placed in the same tier. These changes are intended to give insurance carriers more flexibility in designing health plan networks, potentially allowing for more affordable and customized insurance options for consumers.

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https://malegislature.gov/Bills/194/H1298