MA S528

Bill

To increase consumer transparency about insurance provider networks

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 increase consumer transparency about insurance provider networks. Financial Services.

AI Summary

This bill aims to increase consumer transparency about insurance provider networks. It requires insurance carriers to: 1. Maintain and regularly update accurate online provider directories for each of their network plans, including detailed information about in-network providers, hospitals, and facilities. This includes information like provider specialties, accessibility, and whether they are accepting new patients. 2. Provide printed provider directories upon request and update them quarterly. 3. Establish a process for enrollees to access out-of-network providers at in-network cost-sharing levels if the carrier's network lacks certain types of providers or timely access to services. 4. Inform enrollees about their rights to language interpretation services and accessibility accommodations. The bill also requires providers to notify carriers if they are not accepting new patients, and for carriers to investigate and correct inaccuracies in their provider directories.

Committee Categories

Business and Industry

Sponsors (18)

Michael Brady (D), Marjorie Decker (D), Sal DiDomenico (D), Carolyn Dykema (D), Jennifer Flanagan (D), Stephen Hay (D), Paul Heroux (D), Pat Jehlen (D), Jay Kaufman (D), John Keenan (D), Kay Khan (D), Barbara L'Italien (D), Jason Lewis (D), Joan Lovely (D), Elizabeth Malia (D), Mike Moore (D), Matt Muratore (R), Mike Rush (D),

Last Action

Accompanied a new draft, see S2523 (on 05/14/2018)

Official Document

https://malegislature.gov/Bills/190/S528

(16 Companion Bills)

Version:

Document Type	Source Location
State Bill Page	https://malegislature.gov/Bills/190/S528
Bill	https://malegislature.gov/Bills/190/S528.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
H4113	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
S1163	Relative to transparency and access in healthcare	Accompanied a study order, see S2422	Similar To
S1638	To increase transparency of taxpayers rights	Accompanied a study order, see S2497	Similar To
S1731	Relative to increasing transparency in public construction	Accompanied a study order, see H4481	Similar To
S1748	Relative to taxes and fee transparency	Accompanied a study order, see H4481	Similar To
S1757	To increase the transparency of the Massachusetts Historical Commission	Accompanied a study order, see H4481	Similar To
S180	Relative to transparency of economic development spending	Accompanied a study order, see S2486	Similar To
S1858	Relative to utility data transparency and access	Accompanied a study order, see S2498	Similar To
S2523	To increase consumer transparency about insurance provider networks	House concurred	Replaced by
S365	Restoring financial transparency in presidential elections	Accompanied a study order, see S2399	Similar To
S378	Enhancing transparency in campaign finance	Accompanied a study order, see S2399	Similar To
S550	Relative to ensuring transparency of health plan formularies	Accompanied a study order, see S2496	Similar To
S880	To increase transparency in the Massachusetts land record systems to protect the property rights of homeowners and businesses	Accompanied a study order, see S2313	Similar To

Bill > S528

MA S528

summary

Introduced Session

Bill Summary

AI Summary

Committee Categories

Sponsors (18)

Last Action

Official Document

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