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MA H1236

Bill

Status

Introduced

2/27/2025

Primary Sponsor

John Lawn

Click for details

Origin

House of Representatives

194th General Court

AI Summary

  • Division of Insurance must issue a comprehensive report at least every 5 years on the performance of Massachusetts' merged non-group and small-group health insurance market, in consultation with the Health Connector Authority and Center for Health Information and Analysis

  • Reports must analyze premium trends, cost-sharing, actuarial values, and demographic characteristics of market participants including age, risk score, geography, gender, family size, industry, and income

  • Study must examine utilization and spending trends using the Massachusetts All-Payer Claims Database, including hospital and primary care practice utilization differences between individual and small group members

  • Division may contract with outside organizations with private insurance market fiscal analysis expertise to conduct the studies

  • Reports must be published on the Division's website and filed with the House, Senate, Joint Committee on Financial Services, and Joint Committee on Health Care Financing

Legislative Description

Directing the division of insurance to regularly report on the performance of the merged non-group and small-group health insurance markets

Last Action

Reported favorably by committee and referred to the Joint Committee on Health Care Financing

2/5/2026

Committee Referrals

Health Care Financing2/5/2026
Financial Services2/27/2025

Full Bill Text

No bill text available