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MA H1372

Bill

Status

Introduced

2/27/2025

Primary Sponsor

Kevin Honan

Click for details

Origin

House of Representatives

194th General Court

AI Summary

  • Establishes "Weighted Average Payer Rate" (WAPR) as a new metric combining inpatient revenue per discharge and outpatient revenue per visit across Commercial, Medicare, and Medicaid payers, weighted by Net Patient Service Revenue payer mix

  • Requires the Health Policy Commission to examine WAPR alongside costs, prices, and cost trends during annual public hearings held by October 1 each year

  • Mandates providers and provider organizations to testify on WAPR in addition to existing requirements covering payment systems, care delivery models, cost structures, and utilization trends

  • Requires reporting of WAPR for each acute care hospital and physician organization in health care cost analysis reports

  • Amends Chapter 224 of the Acts of 2012 (Massachusetts health care cost containment law) across multiple sections to integrate WAPR into the state's health care oversight framework

Legislative Description

To improve health care cost accountability

Last Action

Hearing scheduled for 06/02/2025 from 11:00 AM-03:00 PM in Gardner Auditorium

5/22/2025

Committee Referrals

Health Care Financing2/27/2025

Full Bill Text

No bill text available