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HOUSE DOCKET, NO. 2748 FILED ON: 1/19/2023
HOUSE . . . . . . . . . . . . . . . No. 1189
The Commonwealth of Massachusetts
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PRESENTED BY:
Patricia A. Duffy
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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 updating high-cost hospitals and Health Policy Commission system accountability.
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PETITION OF:
NAME:DISTRICT/ADDRESS :DATE ADDED:Patricia A. Duffy5th Hampden1/19/2023 1 of 2
HOUSE DOCKET, NO. 2748 FILED ON: 1/19/2023
HOUSE . . . . . . . . . . . . . . . No. 1189
By Representative Duffy of Holyoke, a petition (accompanied by bill, House, No. 1189) of
Patricia A. Duffy relative to high-cost hospitals and Health Policy Commission system
accountability. 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 updating high-cost hospitals and Health Policy Commission system accountability.
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 10 of chapter 6D of the General Laws as so appearing in the 2022
2Official Edition, is hereby amended by striking clause (6) of subsection (f) and inserting in place
3thereof the following 2 clauses:-
4 (6) The payer mix of the population served by the entity and the demographics of the
5population served including but not limited to the underlying risk of the population.
6 (7) any other factors the commission considers relevant.
7 SECTION 2. Subsection (q) of said section 10 of said chapter 6D of the General Laws, as
8so appearing in the 2022 Official Edition, is hereby amended by striking the figure “$500,000”
9and inserting in place thereof the following words:-
10 A sum commensurate with the amount that the spending for the entity’s members or
11patients exceeded the benchmark as established under section 9A in the relevant year or years. 2 of 2
12 SECTION 3. Section 18 of chapter 12C of the General Laws, as so appearing in the 2022
13Official Edition, is hereby amended by striking the words “health status adjusted”.
14 SECTION 4. Chapter 12C of the General Laws is hereby further amended by inserting
15after section 18 the following section:-
16 Section 18A. The center shall additionally perform an analysis of data it receives under
17this chapter to identify hospitals whose contribution to spending growth is considered excessive
18and who threaten the ability of the state to meet the healthcare cost growth benchmark
19established by the health policy commission under section 10 of chapter 6D. The center shall
20additionally perform analysis to identify hospitals whose relative prices are in the top quartile
21and whose relative price values within a payer’s network have increased. The center shall
22confidentially provide a list of said hospitals identified under this section to the health policy
23commission such that the authority may pursue further action under section 10 of chapter 6D.