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MA H1343

Bill

Status

Introduced

2/27/2025

Primary Sponsor

Thomas Walsh

Click for details

Origin

House of Representatives

194th General Court

AI Summary

  • Health insurance carriers prohibited from denying payment for covered services solely because the referral came from an out-of-network provider

  • Applies across multiple insurance types: state employee plans (Chapter 32A), municipal plans (Chapter 32B), commercial insurance (Chapter 175), Blue Cross (176A), Blue Shield (176B), HMOs (176G), and selective contracting plans (176I)

  • Modifies controlled substance dispensing rules in Chapter 94C to remove single-dose limitations and allow practitioners to dispense for "legitimate medical purpose" rather than only for "immediate and proper treatment"

  • Adds practitioners who directly dispense controlled substances to prescription monitoring program reporting requirements

  • Insurance provisions take effect one year after enactment for new, renewed, or amended contracts

Legislative Description

Relative to direct primary care

Last Action

Accompanied a new draft, see H5022

2/5/2026

Committee Referrals

Financial Services2/27/2025

Full Bill Text

No bill text available