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Bill > H487


MA H487

Relative to the transparency of mental health benefits


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 the disclosure of certain data by behavioral health management firms and other third party administrators. Financial Services.

AI Summary

This bill aims to improve the transparency of mental health benefits in Massachusetts. It requires health insurance companies that provide behavioral health services, including those that use third-party administrators or behavioral health management firms, to report comprehensive data to the Health Policy Commission's Office of Patient Protection. This includes information on denials of service, provider network size and composition, payment rates, and geographic sampling mechanisms used to determine provider payments. The bill also establishes a system for insured individuals to report unsuccessful attempts to schedule appointments with providers in the insurer's network, and requires insurers to publicly disclose the terms of their contracts with third-party administrators for behavioral and mental health coverage.

Committee Categories

Business and Industry

Sponsors (5)

Last Action

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

bill text


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