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MA H1961

MA H1961
To benefit the Health Safety Net Trust Fund


summary

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

Introduced Session

189th General Court

Bill Summary

For legislation to increase funding for the Health Safety Net Trust Fund. Public Health.

AI Summary

This bill aims to increase funding for the Health Safety Net Trust Fund by directing the Center for Health Information and Analysis to update existing regulations, specifically the Health Safety Net Payments and Funding regulations (114.6 CMR 14.00), to generate more revenue for provider payments and decrease the fund's deficit. A key provision establishes a new "Large Physician Organizations Assessment," which will impose an annual $20,000,000 liability on independent physician organizations with over 500 physician members that are not affiliated with or controlled by a licensed acute care hospital; these organizations are considered independent if owned and controlled by their practitioners, and they will be exempt from this assessment if at least 15% of their total gross billed charges are for services reimbursed by the state's Office of Medicaid. Furthermore, the bill ensures that these contributing Large Physician Organizations will be reimbursed for uncompensated care in a way that aligns with payments made to hospitals and community health centers, as governed by specific Massachusetts regulations, federal waivers, or other federal requirements.

Committee Categories

Health and Social Services

Sponsors (54)

Denise Garlick (D)* Brian Ashe (D),  Bruce Ayers (D),  Christine Barber (D),  Jennifer Benson (D),  Michael Brady (D),  Paul Brodeur (D),  Evandro Carvalho (D),  Tackey Chan (D),  Brendan Crighton (D),  Claire Cronin (D),  Josh Cutler (D),  Marjorie Decker (D),  Marcos Devers (D),  Dan Donahue (D),  Jamie Eldridge (D),  Tricia Farley-Bouvier (D),  Michael Finn (D),  Carole Fiola (D),  Gloria Fox (D),  Sean Garballey (D),  Carmine Gentile (D),  Carlos González (D),  Ken Gordon (D),  Jonathan Hecht (D),  Paul Heroux (D),  Dan Hunt (D),  Louis Kafka (D),  Mary Keefe (D),  Kay Khan (D),  John Lawn (D),  John Mahoney (D),  Elizabeth Malia (D),  Christopher Markey (D),  Joe McGonagle (D),  Frank Moran (D),  Jim O'Day (D),  Sarah Peake (D),  Denise Provost (D),  Angelo Puppolo (D),  Dave Rogers (D),  Jeff Roy (D),  Byron Rushing (D),  Danny Ryan (D),  Tom Sannicandro (D),  John Scibak (D),  Alan Silvia (D),  Tom Stanley (D),  Benjamin Swan (D),  Walter Timilty (D),  Timothy Toomey (D),  Steve Ultrino (D),  John Velis (D),  Chris Walsh (D), 

Last Action

Accompanied a study order, see H4638 (on 09/26/2016)

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