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2 | 2 | | HOUSE DOCKET, NO. 1750 FILED ON: 1/18/2023 |
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3 | 3 | | HOUSE . . . . . . . . . . . . . . . No. 1207 |
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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 | | Bradley H. Jones, Jr. |
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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 prohibiting surprise outside billing. |
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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:Bradley H. Jones, Jr.20th Middlesex1/17/2023Nicholas A. Boldyga3rd Hampden1/26/2023Susan Williams Gifford2nd Plymouth1/26/2023F. Jay Barrows1st Bristol1/26/2023Kelly W. Pease4th Hampden1/31/2023Kimberly N. Ferguson1st Worcester2/1/2023 1 of 2 |
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16 | 16 | | HOUSE DOCKET, NO. 1750 FILED ON: 1/18/2023 |
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17 | 17 | | HOUSE . . . . . . . . . . . . . . . No. 1207 |
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18 | 18 | | By Representative Jones of North Reading, a petition (accompanied by bill, House, No. 1207) of |
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19 | 19 | | Bradley H. Jones, Jr. and others for legislation to establish a special commission (including |
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20 | 20 | | members of the General Court) to consider and evaluate the efficacy of policies that require |
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21 | 21 | | hospitals and other health care providers to sell bundled packages of services that include fees |
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22 | 22 | | for all relevant physicians. Health Care Financing. |
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23 | 23 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
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24 | 24 | | SEE HOUSE, NO. 1280 OF 2021-2022.] |
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25 | 25 | | The Commonwealth of Massachusetts |
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26 | 26 | | _______________ |
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27 | 27 | | In the One Hundred and Ninety-Third General Court |
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28 | 28 | | (2023-2024) |
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29 | 29 | | _______________ |
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30 | 30 | | An Act prohibiting surprise outside billing. |
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31 | 31 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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32 | 32 | | of the same, as follows: |
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33 | 33 | | 1 SECTION 1. Notwithstanding any general or special law to the contrary, there shall be a |
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34 | 34 | | 2commission to study and provide recommendations to address and prevent surprise outside |
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35 | 35 | | 3billing. |
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36 | 36 | | 4 SECTION 2. The commission shall consist of the house and senate chairs of the joint |
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37 | 37 | | 5committee on health care financing, who shall serve as the co-chairs; one member to be |
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38 | 38 | | 6appointed by the speaker of the house of representatives; one member to be appointed by the |
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39 | 39 | | 7president of the senate; one member to be appointed by the house minority leader; one member |
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40 | 40 | | 8to be appointed by the senate minority leader; the director of the health policy commission or a 2 of 2 |
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41 | 41 | | 9designee; the commissioner of the department of public health or a designee; and the executive |
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42 | 42 | | 10director of the center for health information and analysis or a designee. |
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43 | 43 | | 11 SECTION 3. The commission shall consider and evaluate the efficacy of policies that |
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44 | 44 | | 12require hospitals and other health care providers to sell bundled packages of services that include |
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45 | 45 | | 13fees for all relevant physicians, including but not limited to anesthesiologists, pathologists, and |
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46 | 46 | | 14radiologists, with the intention of limiting and preventing surprise outside billing. The |
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47 | 47 | | 15commission shall take into consideration similar laws put in place by other states. The |
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48 | 48 | | 16commission shall develop recommendations including but not limited to prohibiting surprise |
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49 | 49 | | 17outside billing, requiring insurance carriers to hold members harmless, and applying regulations |
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50 | 50 | | 18across all providers, including health maintenance organizations and preferred provider |
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51 | 51 | | 19organizations. |
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52 | 52 | | 20 SECTION 4. The commission shall submit its report and findings, along with any |
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53 | 53 | | 21recommendations and drafted legislation, to the house and senate committees on ways and |
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54 | 54 | | 22means, the joint committee on health care financing, and the clerks of the house of |
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55 | 55 | | 23representatives and senate within 12 months of the passage of this act. |
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