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HOUSE DOCKET, NO. 2674 FILED ON: 1/19/2023
HOUSE . . . . . . . . . . . . . . . No. 1170
The Commonwealth of Massachusetts
_________________
PRESENTED BY:
Natalie M. Blais
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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 promote primary care through Medicaid graduate medical education funding.
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PETITION OF:
NAME:DISTRICT/ADDRESS :DATE ADDED:Natalie M. Blais1st Franklin1/19/2023Mindy Domb3rd Hampshire1/20/2023Carmine Lawrence Gentile13th Middlesex1/25/2023Jason M. LewisFifth Middlesex2/22/2023 1 of 2
HOUSE DOCKET, NO. 2674 FILED ON: 1/19/2023
HOUSE . . . . . . . . . . . . . . . No. 1170
By Representative Blais of Deerfield, a petition (accompanied by bill, House, No. 1170) of
Natalie M. Blais and others for legislation to promote primary care through Medicaid graduate
medical education funding. Health Care Financing.
The Commonwealth of Massachusetts
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In the One Hundred and Ninety-Third General Court
(2023-2024)
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An Act to promote primary care through Medicaid graduate medical education funding.
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. Chapter 118E of the General Laws is hereby amended by inserting at the
2end thereof the following new section:-
3 Section 80. (a) Notwithstanding any general or special law to the contrary, the executive
4office shall include in its reimbursement rates to qualifying acute care hospitals for graduate
5medical education in primary care, behavioral health, and other physician residency training in
6fields experiencing physician shortages, as determined by the secretary. Payments for graduate
7medical education shall be based on the Medicare direct graduate medical education
8methodology, Section 1886(h) of the Social Security Act, as implemented by 42 CFR 413.75
9through 42 CFR 413.83 taking into consideration MassHealth utilization and primary care,
10behavioral health, and other physician residents in fields identified by the executive office
11 (b) No later than July 1, 2024, the secretary, in consultation with the executive office of
12administration and finance, shall identify an adequate amount of annual Medicaid graduate 2 of 2
13medical education funding necessary to fulfill the requirements of this section, as well as state
14and other funding sources for use for graduate medical education expenditures. The secretary
15shall report its recommendations to the joint committee on healthcare finance and committees on
16ways and means.
17 (c) The first annual payment to qualifying acute care hospitals and community health
18centers under this section must be made no later than October 1, 2025.