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MA H1343
Bill
Status
2/27/2025
Primary Sponsor
Thomas Walsh
Click for details
AI Summary
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Health insurance carriers prohibited from denying payment for covered services solely because the referral came from an out-of-network provider
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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)
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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"
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Adds practitioners who directly dispense controlled substances to prescription monitoring program reporting requirements
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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