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MA H4954
Bill
Status
1/28/2026
Primary Sponsor
Joint Committee on Financial Services
Click for details
AI Summary
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Authorizes the Commissioner of Insurance to exempt health insurance carriers from certain regulatory requirements under Chapter 176J if the majority of their membership is enrolled in a single rate region or in subsidized coverage under Chapter 176Q
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Carriers receiving 80% or more of their income from government programs, including state or federal subsidized coverage, may also qualify for exemption
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Prohibits contract provisions that grant health care providers a guaranteed right of participation in select or tiered network plans
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Bars "all-or-nothing" contracting requirements that force carriers to include all members of a provider group in the same network tier or select network plan
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Filed by Representative David Allen Robertson on December 23, 2025; reported favorably by the Financial Services Committee on January 28, 2026
Legislative Description
To increase enrollment in affordable health plan networks
Last Action
Reported favorably by committee and referred to the Joint Committee on Health Care Financing
1/28/2026