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Bill > H819


MA H819

MA H819
Promoting consumer choice in health care


summary

Introduced
03/10/2015
In Committee
03/10/2015
Crossed Over
Passed
Dead
07/31/2016

Introduced Session

189th General Court

Bill Summary

For legislation to require insurance companies to reimburse licensed athletic trainers for certain services. Financial Services.

AI Summary

This bill proposes to amend Massachusetts General Laws Chapter 175 by adding a new section that requires health insurance companies to reimburse licensed athletic trainers for certain services, provided these services are within the athletic trainer's legal scope of practice and are referred by a physician. This means that if an insurance plan covers a particular health service or condition, and a licensed athletic trainer is qualified to treat it, the insurer cannot refuse to pay for those services if they would pay another healthcare provider for the same treatment. The bill clarifies that these services can still be subject to standard insurance terms like deductibles, co-payments, and limits, but these conditions cannot be unfairly discriminatory against athletic trainer care compared to other providers. The bill defines "health insurance plan" broadly to include various types of policies and contracts but excludes limited benefit plans.

Committee Categories

Business and Industry

Sponsors (14)

Last Action

Accompanied a study order, see H4111 (on 03/28/2016)

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