MA S902

Health care providers, hospitals, and provider organizations are prohibited from charging, billing, or collecting payment for services at rates exceeding 200% of Medicare reimbursement rates

Balance billing is prohibited beyond what the payor pays under this rate cap, though patients remain responsible for applicable co-payments, co-insurance, and deductibles

Providers cannot shift costs by increasing charges to other health benefit plans or payers to recoup amounts lost under the rate cap

Providing services at the capped rates becomes a condition of licensure for all covered providers

The Department of Public Health may promulgate compliance regulations, with the Attorney General having concurrent enforcement authority