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Bill > H4955


MA H4955

MA H4955
To increase enrollment in affordable health plan networks


summary

Introduced
01/28/2026
In Committee
01/28/2026
Crossed Over
Passed
Dead

Introduced Session

194th General Court

Bill Summary

To increase enrollment in affordable health plan networks

AI Summary

This bill proposes changes to Massachusetts health insurance laws to increase enrollment in affordable health plan networks. Specifically, it allows the commissioner to exempt health insurance carriers from certain regulations if a majority of their members are enrolled in a single rate region, or if those members are primarily using subsidized coverage through Chapter 176Q, which provides state or federal financial assistance for health insurance. Additionally, the bill modifies regulations concerning "select network plan" and "tiered network plan" offerings, which are types of health plans that limit the providers a patient can see to a specific group to control costs. The changes aim to prevent carriers from unfairly restricting participation or requiring all members of a provider group to be included in a select network plan on an "all-or-nothing" basis, thereby potentially making more affordable options available to consumers.

Committee Categories

Health and Social Services

Sponsors (0)

No sponsors listed

Other Sponsors (1)

Joint Committee on Financial Services (Joint)

Last Action

Reported favorably by committee and referred to the Joint Committee on Health Care Financing (on 01/28/2026)

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/H4955
BillText https://malegislature.gov/Bills/194/H4955.pdf
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