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 patient choice of health care providers. Financial Services.
AI Summary
This bill amends the Massachusetts General Laws to prohibit health insurance carriers and Accountable Care Organizations (ACOs) from excluding licensed health care providers from their networks if the provider is located within the geographic coverage area of the health plan and is willing to meet the carrier's or ACO's participation terms and conditions, as long as such measures are imposed equally on all providers in the same class. The bill also requires carriers and ACOs to provide written notice to a denied provider explaining the basis of the denial and the specific terms and conditions the provider does not satisfy. The Office of Patient Protection is granted authority to enforce these provisions.
Committee Categories
Business and Industry
Sponsors (11)
Donnie Berthiaume (R),
Kate Campanale (R),
William Driscoll (D),
Carolyn Dykema (D),
Ryan Fattman (R),
Carmine Gentile (D),
Danielle Gregoire (D),
Hannah Kane (R),
David Linsky (D),
Mike Moore (D),
José Tosado (D),
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/H2165 |
| Bill | https://malegislature.gov/Bills/190/H2165.pdf |
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