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MA H5022

Bill

Status

Introduced

2/5/2026

Primary Sponsor

Joint Committee on Financial Services

Click for details

Origin

House of Representatives

194th General Court

AI Summary

  • Prohibits health insurance carriers from denying payment for covered health care services solely because the referral came from a provider outside the carrier's network

  • Applies the out-of-network referral protection across multiple insurance types: state employee plans (Chapter 32A), municipal employee plans (Chapter 32B), MassHealth (Chapter 118E), commercial insurers (Chapter 175), Blue Cross (Chapter 176A), Blue Shield (Chapter 176B), HMOs (Chapter 176G), and preferred provider arrangements (Chapter 176I)

  • Expands controlled substance dispensing authority by allowing practitioners to dispense medications for "legitimate medical purpose" in the usual course of practice, removing previous restrictions limiting dispensing to single doses or quantities needed only for immediate treatment

  • Requires practitioners who dispense controlled substances to maintain records similarly to pharmacies filling prescriptions

  • Insurance provisions take effect one year after the law's effective date for all contracts entered into, renewed, or amended after that point

Legislative Description

Relative to direct primary care

Last Action

Reported favorably by committee and referred to the Joint Committee on Health Care Financing

2/5/2026

Committee Referrals

Health Care Financing2/5/2026

Full Bill Text

No bill text available