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| 2 | 2 | | HOUSE DOCKET, NO. 2674 FILED ON: 1/19/2023 |
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| 3 | 3 | | HOUSE . . . . . . . . . . . . . . . No. 1170 |
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| 4 | 4 | | The Commonwealth of Massachusetts |
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| 5 | 5 | | _________________ |
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| 6 | 6 | | PRESENTED BY: |
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| 7 | 7 | | Natalie M. Blais |
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| 8 | 8 | | _________________ |
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| 9 | 9 | | To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General |
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| 10 | 10 | | Court assembled: |
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| 11 | 11 | | The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: |
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| 12 | 12 | | An Act to promote primary care through Medicaid graduate medical education funding. |
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| 13 | 13 | | _______________ |
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| 14 | 14 | | PETITION OF: |
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| 15 | 15 | | 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 |
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| 16 | 16 | | HOUSE DOCKET, NO. 2674 FILED ON: 1/19/2023 |
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| 17 | 17 | | HOUSE . . . . . . . . . . . . . . . No. 1170 |
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| 18 | 18 | | By Representative Blais of Deerfield, a petition (accompanied by bill, House, No. 1170) of |
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| 19 | 19 | | Natalie M. Blais and others for legislation to promote primary care through Medicaid graduate |
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| 20 | 20 | | medical education funding. Health Care Financing. |
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| 21 | 21 | | The Commonwealth of Massachusetts |
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| 22 | 22 | | _______________ |
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| 23 | 23 | | In the One Hundred and Ninety-Third General Court |
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| 24 | 24 | | (2023-2024) |
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| 25 | 25 | | _______________ |
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| 26 | 26 | | An Act to promote primary care through Medicaid graduate medical education funding. |
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| 27 | 27 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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| 28 | 28 | | of the same, as follows: |
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| 29 | 29 | | 1 SECTION 1. Chapter 118E of the General Laws is hereby amended by inserting at the |
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| 30 | 30 | | 2end thereof the following new section:- |
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| 31 | 31 | | 3 Section 80. (a) Notwithstanding any general or special law to the contrary, the executive |
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| 32 | 32 | | 4office shall include in its reimbursement rates to qualifying acute care hospitals for graduate |
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| 33 | 33 | | 5medical education in primary care, behavioral health, and other physician residency training in |
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| 34 | 34 | | 6fields experiencing physician shortages, as determined by the secretary. Payments for graduate |
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| 35 | 35 | | 7medical education shall be based on the Medicare direct graduate medical education |
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| 36 | 36 | | 8methodology, Section 1886(h) of the Social Security Act, as implemented by 42 CFR 413.75 |
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| 37 | 37 | | 9through 42 CFR 413.83 taking into consideration MassHealth utilization and primary care, |
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| 38 | 38 | | 10behavioral health, and other physician residents in fields identified by the executive office |
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| 39 | 39 | | 11 (b) No later than July 1, 2024, the secretary, in consultation with the executive office of |
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| 40 | 40 | | 12administration and finance, shall identify an adequate amount of annual Medicaid graduate 2 of 2 |
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| 41 | 41 | | 13medical education funding necessary to fulfill the requirements of this section, as well as state |
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| 42 | 42 | | 14and other funding sources for use for graduate medical education expenditures. The secretary |
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| 43 | 43 | | 15shall report its recommendations to the joint committee on healthcare finance and committees on |
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| 44 | 44 | | 16ways and means. |
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| 45 | 45 | | 17 (c) The first annual payment to qualifying acute care hospitals and community health |
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| 46 | 46 | | 18centers under this section must be made no later than October 1, 2025. |
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