MA S759

Creates a new Medicaid Stabilization Trust Fund administered by the Secretary of Health and Human Services to prevent reductions in MassHealth beneficiary care access and provider reimbursement rates

Imposes a $400 million assessment on health insurance carriers whose net worth surplus exceeds 550% of risk-based capital as measured in calendar year 2023

Distributes assessment funds equally: $200 million to the Health Safety Net Trust Fund and $200 million to the new Medicaid Stabilization Trust Fund

Authorizes enforcement mechanisms for non-payment including interest charges up to 18% annually and late fees up to 5% per month

The $400 million assessment requirement sunsets on December 31, 2026, though the trust fund structure remains in place