Bill > S2732

This bill amends multiple chapters of Massachusetts law to prohibit health insurance carriers from denying payment for a health care service that is already covered under an enrollee's health plan solely because the patient's referral came from a provider outside the carrier's network. The bill applies to various types of health insurance, including state employee health plans (Chapters 32A and 32B), Medicaid (Chapter 118E), and different types of health insurance carriers (Chapters 175, 176A, 176B, 176G, and 176I). Additionally, the bill makes changes to controlled substance prescription regulations in Chapter 94C, allowing practitioners more flexibility in dispensing medications by removing restrictions on single-dose requirements and clarifying language about medical purpose. The new provisions will take effect for all contracts that are entered into, renewed, or amended one year after the bill's effective date, which aims to give insurance carriers and healthcare providers time to adjust to the new requirements.

Business and Industry, Health and Social Services

https://malegislature.gov/Bills/194/S2732