summary
Introduced
01/23/2017
01/23/2017
In Committee
01/23/2017
01/23/2017
Crossed Over
Passed
Dead
12/31/2018
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)
Official Document
bill text
bill summary
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bill summary
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bill summary
Document Type | Source Location |
---|---|
State Bill Page | https://malegislature.gov/Bills/190/H538 |
Bill | https://malegislature.gov/Bills/190/H538.pdf |
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