Massachusetts 2023-2024 Regular Session

Massachusetts House Bill H1189 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	1 of 1
2	2	HOUSE DOCKET, NO. 2748 FILED ON: 1/19/2023
3	3	HOUSE . . . . . . . . . . . . . . . No. 1189
4	4	The Commonwealth of Massachusetts
5	5	_________________
6	6	PRESENTED BY:
7	7	Patricia A. Duffy
8	8	_________________
9	9	To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
10	10	Court assembled:
11	11	The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
12	12	An Act updating high-cost hospitals and Health Policy Commission system accountability.
13	13	_______________
14	14	PETITION OF:
15	15	NAME:DISTRICT/ADDRESS :DATE ADDED:Patricia A. Duffy5th Hampden1/19/2023 1 of 2
16	16	HOUSE DOCKET, NO. 2748 FILED ON: 1/19/2023
17	17	HOUSE . . . . . . . . . . . . . . . No. 1189
18	18	By Representative Duffy of Holyoke, a petition (accompanied by bill, House, No. 1189) of
19	19	Patricia A. Duffy relative to high-cost hospitals and Health Policy Commission system
20	20	accountability. Health Care Financing.
21	21	The Commonwealth of Massachusetts
22	22	_______________
23	23	In the One Hundred and Ninety-Third General Court
24	24	(2023-2024)
25	25	_______________
26	26	An Act updating high-cost hospitals and Health Policy Commission system accountability.
27	27	Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
28	28	of the same, as follows:
29	29	1 SECTION 1. Section 10 of chapter 6D of the General Laws as so appearing in the 2022
30	30	2Official Edition, is hereby amended by striking clause (6) of subsection (f) and inserting in place
31	31	3thereof the following 2 clauses:-
32	32	4 (6) The payer mix of the population served by the entity and the demographics of the
33	33	5population served including but not limited to the underlying risk of the population.
34	34	6 (7) any other factors the commission considers relevant.
35	35	7 SECTION 2. Subsection (q) of said section 10 of said chapter 6D of the General Laws, as
36	36	8so appearing in the 2022 Official Edition, is hereby amended by striking the figure “$500,000”
37	37	9and inserting in place thereof the following words:-
38	38	10 A sum commensurate with the amount that the spending for the entity’s members or
39	39	11patients exceeded the benchmark as established under section 9A in the relevant year or years. 2 of 2
40	40	12 SECTION 3. Section 18 of chapter 12C of the General Laws, as so appearing in the 2022
41	41	13Official Edition, is hereby amended by striking the words “health status adjusted”.
42	42	14 SECTION 4. Chapter 12C of the General Laws is hereby further amended by inserting
43	43	15after section 18 the following section:-
44	44	16 Section 18A. The center shall additionally perform an analysis of data it receives under
45	45	17this chapter to identify hospitals whose contribution to spending growth is considered excessive
46	46	18and who threaten the ability of the state to meet the healthcare cost growth benchmark
47	47	19established by the health policy commission under section 10 of chapter 6D. The center shall
48	48	20additionally perform analysis to identify hospitals whose relative prices are in the top quartile
49	49	21and whose relative price values within a payer’s network have increased. The center shall
50	50	22confidentially provide a list of said hospitals identified under this section to the health policy
51	51	23commission such that the authority may pursue further action under section 10 of chapter 6D.