MA S764

Eliminates co-payments and deductibles for medically appropriate evaluation and management services in outpatient settings, including office-based and hospital-based clinics

Applies to multiple insurance types: state employee plans (Chapter 32A), municipal employee plans (Chapter 32B), commercial insurers (Chapter 175), Blue Cross (Chapter 176A), Blue Shield (Chapter 176B), and HMOs (Chapter 176G)

Requires the Division of Insurance to develop guidelines determining which services qualify for the cost-sharing exemption

Exempts plans governed by the Federal Internal Revenue Code that would lose tax-exempt status (such as HSA-qualified high-deductible plans) from the co-payment and deductible prohibition

Similar legislation was filed in the 2023-2024 session as Senate No. 654