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MA H1162
Bill
Status
Introduced
2/27/2025
Primary Sponsor
William Galvin
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AI Summary
- Prohibits insurance carriers from reducing negotiated payment rates for evaluation and management or procedural services solely because the provider billed other health care services (such as minor surgery) on the same day
- Renders void any provision in a provider agreement that allows reimbursement reductions prohibited under this section
- Limits carriers or utilization review organizations providing only administrative services to recommending coverage authorization to third-party payors, rather than directly controlling payment decisions
- Amends Section 16 of Chapter 176O of the Massachusetts General Laws governing health insurance carrier practices
Legislative Description
To reduce inequities in access to medical procedures
Last Action
Hearing rescheduled to 04/29/2025 from 10:00 AM-01:00 PM in A-2 and Virtual Hearing updated to New End Time
8/28/2025
Committee Referrals
Financial Services2/27/2025
Full Bill Text
No bill text available