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MA H1267

Bill

Status

Introduced

2/27/2025

Primary Sponsor

Frank Moran

Click for details

Origin

House of Representatives

194th General Court

AI Summary

  • Prohibits health insurance carriers from including provisions in contracts with health care providers that allow termination without cause, and requires carriers to provide written reasons for any involuntary provider disenrollment

  • Bans carriers from making unilateral changes to material contract terms—including fee schedules, payment terms, covered services definitions, utilization review policies, credentialing, and quality management procedures—unless required by law

  • Allows unilateral changes only if the effective date falls after the current contract term ends and the provider receives written notice more than 90 days before the provider's termination/non-renewal deadline

  • Requires the Group Insurance Commission to refuse to purchase health insurance policies from insurers whose provider contracts contain prohibited termination-without-cause or unilateral change provisions

  • Preserves the right of carriers and providers to enter into mutually agreed-upon contract amendments

Legislative Description

Relative to unilateral contract changes

Last Action

Accompanied a new draft, see H5020

2/5/2026

Committee Referrals

Financial Services2/27/2025

Full Bill Text

No bill text available