Massachusetts S 3141: An Act relative to primary care for you

Bill Text

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        FILED ON: 6/18/2026 
SENATE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 3141 
Senate, June 18, 2016 -- Text of the Senate Bill relative to primary care for you (Senate, No. 
3141) (being the text of Senate, No. 3116, printed as amended) 
 
The Commonwealth of Massachusetts 
 
_______________
 
In the One Hundred and Ninety-Fourth General Court 
(2025-2026) 
_______________
 
 
An Act relative to primary care for you. 
 
 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority 
of the same, as follows: 
 
1 SECTION 1. Section 1 of chapter 6D of the General Laws, as appearing in the 2024 
2Official Edition, is hereby amended by inserting after the definition of “After-hours care” the 
3following 2 definitions:-  
4 “Aggregate primary care baseline expenditures”, the sum of all primary care expenditures 
5as defined by the center, in the commonwealth in the calendar year preceding the year in which 
6the aggregate primary care expenditure target applies; provided, however, that such expenditures 
7shall not include pharmaceuticals, including medically-administered drugs.  
8 “Aggregate primary care expenditure target”, the targeted sum set by the commission 
9pursuant to section 9A of all primary care expenditures as defined by the center, in the 
10commonwealth in the calendar year in which the aggregate primary care expenditure target 
11applies; provided, however, that such expenditures shall not include pharmaceuticals, including 
12medically-administered drugs.  

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13 SECTION 2. Said section 1 of said chapter 6D, as so appearing, is hereby further 
14amended by inserting after the definition of “Hospital service corporation” the following 
15definition:- 
16 “Independent primary care practice”, a medical practice owned by 1 or more licensed 
17primary care providers that provides primary care services and is not owned or controlled by 
18another entity, including, but not limited to, a health system, private equity company or 
19corporation.      
20 SECTION 3. Said section 1 of said chapter 6D, as so appearing, is hereby further 
21amended by inserting after the definition of “Physician” the following 3 definitions:-  
22 “Primary care”, the provision of integrated, accessible health care services for people of 
23all ages provided as first-contact, longitudinal care by a licensed primary care clinician and their 
24care teams, which may include, but shall not be limited to, physicians, nurse practitioners, 
25physician assistants, nurses and care coordinators.  
26 “Primary care baseline expenditures”, the sum of all primary care expenditures as defined 
27by the center by or attributed to an individual health care entity that provides primary care 
28services in the calendar year preceding the year in which the primary care expenditure target 
29applies. 
30 “Primary care expenditure target”, the targeted sum set by the commission pursuant to 
31section 9A of all primary care expenditures as defined by the center by or attributed to an 
32individual health care entity that provides primary care services in the calendar year in which the 
33entity’s primary care expenditure target applies.  

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34 SECTION 4. Said section 1 of said chapter 6D, as so appearing, is hereby further 
35amended by inserting after the definition of “Primary care provider” the following definition:- 
36 “Primary care services”, services that are person-centered and team-based and delivered 
37by a primary care provider, including, problem-focused office visits, preventative office visits 
38and services, routine evaluation and management, management of chronic conditions, 
39administration of immunizations and injections, in-home and nursing facility visits, routine 
40screening and assessments, integrated behavioral health care, coordination of care and other 
41services as defined by the primary care technical advisory council.  
42 SECTION 5. Said chapter 6D is hereby further amended by inserting after section 3A the 
43following section:-  
44 Section 3B. (a) There shall be within the commission an office of primary care policy and 
45payment. The office, in coordination with the primary care technical advisory council established 
46in subsection (c) and in consultation with the division of insurance, shall: (i) study primary care 
47access, delivery and payment in the commonwealth; (ii) develop a uniform primary care payment 
48model across all carriers, including the group insurance commission established in section 3 of 
49chapter 32A, that: (A) takes into account considerations of both adult and pediatric primary care; 
50and (B) takes into account and makes reasonable adjustments to reflect differences across 
51commercial market plan types including, but not limited to, health maintenance organizations, 
52preferred provider organizations, exclusive provider organizations and point-of-service; (iii) 
53develop and issue regulations to