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MA H1267
Bill
Status
2/27/2025
Primary Sponsor
Frank Moran
Click for details
AI Summary
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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
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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
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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
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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
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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