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MA H1415

Bill

Official Source

Status

Introduced

2/27/2025

Primary Sponsor

Steven Ultrino

Click for details

Origin

House of Representatives

194th General Court

AI Summary

  • Prohibits Medicare, Medicare Advantage, and MassHealth providers and suppliers from billing Qualified Medicare Beneficiary (QMB) enrollees for Medicare Part A or Part B cost-sharing amounts
  • Cost-sharing protections cover deductibles, co-pays, and co-insurance charges
  • Requires the division to promulgate enforcement regulations within 90 days of the law taking effect
  • Authorizes sanctions including monetary fines for providers who unlawfully bill QMB beneficiaries
  • Allows consideration of mitigating circumstances such as clerical errors and good faith mistakes when determining sanctions

Legislative Description

To protect qualified medicare beneficiaries from improper billing

Last Action

Reporting date extended to Wednesday, March 18, 2026

9/15/2025

Committee Referrals

Health Care Financing2/27/2025

Full Bill Text

No bill text available