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MA S916

Bill

Status

Introduced

2/27/2025

Primary Sponsor

Bruce Tarr

Click for details

Origin

Senate

194th General Court

AI Summary

  • Expands the definition of "mandated health benefit proposal" to include regulations that mandate coverage, reimbursement, or payment rates for health services, prescription drugs, diseases, or providers, as well as rules that limit cost-sharing, deductibles, or utilization management programs like prior authorization and step therapy

  • Requires state agencies (including the Health Connector, DPH, DMH, MassHealth, and Division of Insurance) to request a cost and impact review from the Center for Health Information and Analysis before implementing any new mandated health benefit through regulation, rule, bulletin, or guidance

  • Mandates that the CHIA review report be publicly available at least 30 days before any public hearing on the proposed regulatory change

  • Authorizes the Division of Insurance commissioner to approve health insurance policies for individuals and small businesses that cover only essential health benefits as defined under the Affordable Care Act (ACA Section 1302(b)(1))

  • Establishes a legislative policy imposing a moratorium on enacting new mandated health benefit laws until statewide health care expenditure growth meets the health care cost growth benchmark under Chapter 6D, Section 9

Legislative Description

To enhance analysis of state health mandates and costs

Last Action

Accompanied a study order, see S2931

1/29/2026

Committee Referrals

Health Care Financing2/27/2025

Full Bill Text

No bill text available