Massachusetts 2023-2024 Regular Session

Massachusetts House Bill H2593 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. 3225 FILED ON: 1/20/2023
3	3	HOUSE . . . . . . . . . . . . . . . No. 2593
4	4	The Commonwealth of Massachusetts
5	5	_________________
6	6	PRESENTED BY:
7	7	John J. Mahoney
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 relative to group insurance costs for certain public retirees.
13	13	_______________
14	14	PETITION OF:
15	15	NAME:DISTRICT/ADDRESS :DATE ADDED:John J. Mahoney13th Worcester1/17/2023 1 of 2
16	16	HOUSE DOCKET, NO. 3225 FILED ON: 1/20/2023
17	17	HOUSE . . . . . . . . . . . . . . . No. 2593
18	18	By Representative Mahoney of Worcester, a petition (accompanied by bill, House, No. 2593) of
19	19	John J. Mahoney relative to group insurance costs for certain public retirees. Public Service.
20	20	[SIMILAR MATTER FILED IN PREVIOUS SESSION
21	21	SEE HOUSE, NO. 2719 OF 2021-2022.]
22	22	The Commonwealth of Massachusetts
23	23	_______________
24	24	In the One Hundred and Ninety-Third General Court
25	25	(2023-2024)
26	26	_______________
27	27	An Act relative to group insurance costs for certain public retirees.
28	28	Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
29	29	of the same, as follows:
30	30	1 SECTION 1. Section 6 of chapter 32A of the General Laws is hereby amended by
31	31	2inserting after the fourth sentence thereof the following new sentence: -
32	32	3 For active and retired employees, their dependents and the survivors of deceased
33	33	4employees, including municipal subscribers, the maximum amount of deductibles and
34	34	5copayments for covered services during an enrollment year in a plan shall not exceed $2,500 for
35	35	6individual coverage and $5,000 for family coverage.
36	36	7 SECTION 2. Section 9 of Chapter 32A is hereby amended by inserting the following new
37	37	8paragraph at the end thereof:-
38	38	9 Any and all excess premium payments made by the Commonwealth and or its employees
39	39	10and retirees shall remain in the trust fund, to be utilized for the purposes of paying the out of 2 of 2
40	40	11pocket expenses in excess of the limitations established in Section 6 up to the combined medical
41	41	12and pharmaceutical maximums established pursuant to the Patient Protection and Affordable
42	42	13Care Act , 42 U.S.C. §18001 et seq. (2010) or improving insurance benefits for its employees
43	43	14and retirees. Premium payments pursuant to this section shall include sums appropriated by the
44	44	15General Court or paid by the insured for self-insured products offered by the group insurance
45	45	16commission.
46	46	17 SECTION 3. Subsection (b) Section 22 of Chapter 32B is hereby amended by striking the
47	47	18first paragraph and inserting the following new paragraph:-
48	48	19 (b) An appropriate public authority may increase the dollar amounts for copayments,
49	49	20deductibles, tiered provider network copayments and other cost-sharing plan design features;
50	50	21provided that, for subscribers enrolled in a non-Medicare plan, such features do not exceed plan
51	51	22design features offered by the commission pursuant to section 4 or 4A of chapter 32A in a non-
52	52	23Medicare plan with the largest subscriber enrollment and, for subscribers enrolled in a Medicare
53	53	24plan under section 18A, such features do not exceed plan design features offered by the
54	54	25commission pursuant to section 4 or 4A of chapter 32A in a Medicare plan with the largest
55	55	26subscriber enrollment; provided that for active and retired employees, their dependents and the
56	56	27survivors of deceased employees the maximum amount of health insurance deductibles and
57	57	28copayments for covered services during an enrollment year in a plan shall not exceed those
58	58	29offered by the commission; provided, however, that the public authority need only satisfy the
59	59	30requirements of subsection (a) of section 21 the first time changes are implemented pursuant to
60	60	31this section; and provided, further that the public authority meet its obligations under subsections
61	61	32(b) to (h), inclusive, of section 21 each time an increase to a plan design feature is proposed.