MA S550

Bill

Relative to ensuring transparency of health plan formularies

Introduced
01/23/2017

In Committee
01/23/2017

Crossed Over

Passed

Dead
12/31/2018

Introduced Session

190th General Court

Bill Summary

For legislation to ensure transparency of health plan formularies. Financial Services.

AI Summary

This bill aims to ensure transparency of health plan formularies in Massachusetts. It requires health plans to: 1) Provide notice to enrollees about the use of a formulary and how it is determined; 2) Post the formulary on their website in a searchable format; 3) Update the formulary within 72 hours of any changes; 4) Use a standard template developed by the Division of Insurance to display the formulary; and 5) Disclose detailed information about the formulary, including prior authorization requirements, drug tiers and copays, cost-sharing for drugs covered under the medical benefit, and how medications will be treated for the deductible.

Committee Categories

Business and Industry

Sponsors (4)

Paul Heroux (D), Barbara L'Italien (D), Jack Lewis (D), Patrick O'Connor (R),

Last Action

Accompanied a study order, see S2496 (on 04/30/2018)

Official Document

https://malegislature.gov/Bills/190/S550

(10 Companion Bills)

Version:

Document Type	Source Location
State Bill Page	https://malegislature.gov/Bills/190/S550
Bill	https://malegislature.gov/Bills/190/S550.pdf

Bill	Bill Name	Last Action	Type
H331	Relative to greater transparency and accountability for out of district placement costs	Accompanied a new draft, see H4390	Similar To
H4112	Relative to patient safety and hospital transparency	No further action taken	Similar To
H620	Relative to health care cost transparency	Accompanied a new draft, see H4605	Similar To
S1019	Relative to transparency in employee benefits reporting in private construction	Bill reported favorably by committee and referred to the committee on Senate Ways and Means	Similar To
S1757	To increase the transparency of the Massachusetts Historical Commission	Accompanied a study order, see H4481	Similar To
S1858	Relative to utility data transparency and access	Accompanied a study order, see S2498	Similar To
S2496	Order relative to authorizing the joint committee on Financial Services to make an investigation and study of certain current Senate documents relative to financial services issues	Discharged to the committee on Senate Rules	Replaced by
S2523	To increase consumer transparency about insurance provider networks	House concurred	Similar To
S365	Restoring financial transparency in presidential elections	Accompanied a study order, see S2399	Similar To
S528	To increase consumer transparency about insurance provider networks	Accompanied a new draft, see S2523	Similar To

Bill > S550

MA S550

summary

Introduced Session

Bill Summary

AI Summary

Committee Categories

Sponsors (4)

Last Action

Official Document

bill text

bill summary

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