MA H1361

Health Policy Commission gains authority to require performance improvement plans from health care entities identified by the Center for Health Information and Analysis as having excessive spending growth that threatens the state's health care cost growth benchmark

Civil penalties for non-compliance with performance improvement plans increase to up to $500,000 for first violations, $750,000 for second violations, and the full amount of excess spending above the benchmark for third or subsequent violations

Center for Health Information and Analysis must perform ongoing data analysis to identify clinics, hospitals, surgical centers, physician organizations, carriers, and accountable care organizations with excessive contributions to health care spending growth

Insurance Commissioner receives expanded authority to approve, modify, or disapprove proposed rate changes for group medical service agreements, HMOs, small group plans, and Medicare supplement plans

Rate modifications or disapprovals are limited to rates found to be excessive, inadequate, or unfairly discriminatory/unreasonable in relation to benefits charged