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Bill > H1019


MA H1019

MA H1019
To prohibit material changes above the cost benchmark


summary

Introduced
01/20/2015
In Committee
01/20/2015
Crossed Over
Passed
Dead
07/31/2016

Introduced Session

189th General Court

Bill Summary

Relative to the exceeding of health care cost growth benchmarks by certain providers or provider organizations. Health Care Financing.

AI Summary

This bill amends existing law to prohibit healthcare providers or organizations identified by the center as exceeding the healthcare cost growth benchmark from making significant changes to their operations or governance that would normally require notification to the commission. The "center" likely refers to a state agency responsible for monitoring healthcare costs, and the "commission" is another regulatory body. This prohibition aims to prevent providers already exceeding cost benchmarks from making changes that could further increase costs or reduce competition. However, the commission can exempt providers if their market share is below a certain level, or if their total medical expenses or relative prices are below the statewide median. The prohibition remains in effect until the provider or organization demonstrates that their relative price and total medical expenses have been reduced to or below the cost growth benchmark.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Accompanied a study order, see H4635 (on 09/26/2016)

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