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MA H1387

Bill

Status

Introduced

2/27/2025

Primary Sponsor

Christopher Markey

Click for details

Origin

House of Representatives

194th General Court

AI Summary

  • Defines "low historic relative price hospital" as an acute hospital with an average statewide relative price below 0.90 across all carriers over a 5-year period, that is either corporately independent or negotiates carrier contracts separately
  • Requires the Health Policy Commission to annually publish a list of qualifying low historic relative price hospitals
  • Establishes minimum payment floor for 2026-2029: carriers cannot pay qualifying hospitals less than 15% below the average relative price of all acute hospitals in their network
  • Mandates above-benchmark reimbursement increases for qualifying hospitals: at least 2% above the health care cost growth benchmark (2029-2032) and at least 1% above benchmark (2032-2035)
  • Beginning 2035-2038 and beyond, annual reimbursement rate increases must be at least equal to the health care cost growth benchmark

Legislative Description

To increase reimbursement for low historic relative price hospitals

Last Action

Reporting date extended until Wednesday, March 18, 2026

10/8/2025

Committee Referrals

Health Care Financing2/27/2025

Full Bill Text

No bill text available