Bill > H4336

This bill establishes comprehensive requirements for insurance coverage of mobile integrated health (MIH) services across various types of health insurance providers in Massachusetts. The legislation mandates that insurance carriers, including group insurance commissions, Medicaid programs, and different types of health plans (such as blanket, general, accident, sickness, and health maintenance organization policies), cannot refuse to provide coverage for medical, behavioral, or health care services solely because those services were delivered by a healthcare provider participating in an approved mobile integrated health care program. The bill ensures that services provided through these MIH programs will be covered to the same extent as services delivered in traditional healthcare facilities, and prohibits reducing payment rates for services simply because they were delivered through a mobile integrated health program. Additionally, the bill specifies that insurance contracts may include standard deductibles, copayments, or coinsurance for MIH services, but these cost-sharing requirements cannot exceed those applicable to the same services in a traditional healthcare facility. As a notable additional provision, the bill stipulates that mobile integrated health programs focused on behavioral health services will be exempt from application and registration fees, potentially making such programs more accessible and affordable.

Health and Social Services

Joint Committee on Financial Services (Joint)

https://malegislature.gov/Bills/194/H4336