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MA S613

MA S613
Relative to review of provider material changes


summary

Introduced
04/15/2015
In Committee
04/15/2015
Crossed Over
Passed
Dead
07/31/2016

Introduced Session

189th General Court

Bill Summary

For legislation relative to review of provider material changes. Health Care Financing.

AI Summary

This bill requires the Health Care Financing Commission to conduct an annual review of changes made by healthcare providers that were previously approved by the commission. These "material changes" are significant alterations to a provider's operations or structure, often made with the stated goals of lowering costs, improving care integration, or enhancing quality. During public hearings, the commission will gather testimony from various parties, including providers and the Attorney General, to assess whether these promised benefits have actually been realized. The review will consider the impact of these changes on healthcare costs, insurer reimbursement rates, service quality, patient access, and the overall competitive landscape of healthcare services. If the commission determines that a material change has not delivered its intended benefits, it has the authority to impose consequences such as subjecting the provider to further scrutiny, requiring a plan to fix issues, or temporarily preventing the provider from making additional structural changes. Finally, the commission will publish a report detailing its findings and any actions taken, and will submit this report to legislative bodies and relevant committees.

Committee Categories

Health and Social Services

Sponsors (2)

Last Action

Accompanied a study order, see S2356 (on 06/23/2016)

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