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Bill > H538


MA H538

For health care non-discrimination


summary

Introduced
01/23/2017
In Committee
01/23/2017
Crossed Over
Passed
Dead
12/31/2018

Introduced Session

190th General Court

Bill Summary

Relative to alternative payment arrangements and health care non-discrimination. Financial Services.

AI Summary

This bill amends Chapter 176O of the General Laws to regulate alternative payment arrangements between insurance carriers and healthcare providers. It stipulates that carriers can consider patient population characteristics such as age, acuity, social determinants of health, and behavioral health needs when establishing alternative payment arrangements, but cannot base the arrangements on provider prices or historic medical spending attributed to specific providers. The bill also requires carriers to file data with the Center for Health Information and Analysis to verify compliance, and violations are considered violations of Chapter 93A of the General Laws.

Committee Categories

Business and Industry

Sponsors (5)

Last Action

Accompanied a study order, see H4778 (on 07/18/2018)

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