MA H1181

Health insurance carriers with net worth surplus exceeding 550% of risk-based capital (based on calendar year 2023) must pay an assessment to the Division of Insurance

Assessment must generate $400 million total, with $200 million going to the Health Safety Net Trust Fund and $200 million to a new Medicaid Stabilization Trust Fund

Creates a new Medicaid Stabilization Trust Fund administered by the Secretary of Health and Human Services to prevent reductions in access to care and reimbursement rates for MassHealth beneficiaries

Enforcement mechanisms for non-payment include interest charges up to 18% annually and late fees up to 5% per month

The $400 million assessment provision sunsets on December 31, 2026