Massachusetts H 1081: An Act to increase limited and tiered network enrollment

Bill Text

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HOUSE DOCKET, NO. 1320 FILED ON: 2/5/2021
HOUSE . . . . . . . . . . . . . . . No. 1081

The Commonwealth of Massachusetts
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PRESENTED BY:
Michael J. Finn
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To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:
The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
An Act to increase limited and tiered network enrollment.
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PETITION OF:

NAME: DISTRICT/ADDRESS: DATE ADDED:
Michael J. Finn 6th Hampden 2/5/2021

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HOUSE DOCKET, NO. 1320 FILED ON: 2/5/2021
HOUSE . . . . . . . . . . . . . . . No. 1081
By Mr. Finn of West Springfield, a petition (accompanied by bill, House, No. 1081) of Michael
J. Finn relative to select or tiered network health care insurance plans. Financial Services.

The Commonwealth of Massachusetts

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In the One Hundred and Ninety-Second General Court
(2021-2022)
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An Act to increase limited and tiered network enrollment.

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 9A of Chapter 176O of the Massachusetts General Laws is
2 amended by striking subsection (a) and replacing it with the following:
3 "(a)(i) limits the ability of the carrier to introduce or modify a select network plan or
4 tiered network plan by granting the health care provider a guaranteed right of participation; (ii)
5 requires the carrier to place all members of a provider group, whether local practice groups or
6 facilities, in the same tier of a tiered network plan; or (iii) requires the carrier to include all
7 members of a provider group, whether local practice groups or facilities, in a select network plan
8 on an all-or-nothing basis; or"