Massachusetts 2023-2024 Regular Session

Massachusetts House Bill H4362 Latest Draft

Bill / Introduced Version Filed 02/12/2024

                            HOUSE . . . . . . . . No. 4362
The Commonwealth of Massachusetts
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HOUSE OF REPRESENTATIVES, February 12, 2024.
The committee on The Judiciary to whom was referred the petition 
(accompanied by bill, House, No. 1750) of Jeffrey N. Roy, Margaret R. 
Scarsdale and John Barrett, III relative to equitable allocation of recovery 
proceeds for certain subrogation claims, reports recommending that the 
accompanying bill (House, No. 4362) ought to pass.
For the committee,
MICHAEL S. DAY. 1 of 3
        FILED ON: 2/5/2024
HOUSE . . . . . . . . . . . . . . . No. 4362
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 concerning equitable allocation of recovery proceeds for subrogation claims.
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 70A of chapter 111 of the General Laws, as appearing in the 2022 
2Official Edition, is hereby amended by inserting after the first sentence the following sentences:-
3 Any attorney’s fees and costs incurred in enforcing liability and obtaining such judgment, 
4settlement or compromise shall be divided between the health maintenance organization, 
5hospital, medical or dental service corporation and the injured person in proportion to the amount 
6received by them from any such judgment, settlement or compromise. If the settlement or 
7judgment, or funds available to satisfy the judgment, are less than the amount of the injured 
8person’s total damages, the court may, after a hearing and evaluation of the injured party’s total 
9damages, reduce the amount of the lien.
10 SECTION 2. Said chapter 111, as so appearing, is hereby further amended by inserting 
11after section 70D the following section:-
12 Section 70D ½. Notwithstanding the provisions of sections 70A to 70D, inclusive, and 
13any contractual term to the contrary, no health maintenance organization or group or individual  2 of 3
14medical or disability insurer that has provided benefits for covered services to an injured person 
15shall have a lien, right of reimbursement, subrogation claim or claim of recoupment upon any 
16recovery or sum had, collected or to be collected, whether by judgment, settlement or 
17compromise, from another person as damages on account of such injuries for more than the 
18proportionate share of said recovery or sum subject to its lien, right of reimbursement, 
19subrogation claim or claim of recoupment which the amount of benefits so provided for covered 
20services bears to the total value of the injured person’s damages.
21 The entity which provided benefits or the injured person may petition the court in which 
22any case seeking damages on account of such injuries is pending, or in a court in which such 
23case could be properly filed had settlement not been attained before commencement of suit, for a 
24determination of the reasonableness of the settlement and the fair allocation of amounts payable 
25thereunder, including any attorneys’ fees or costs incurred obtaining any recovery or sum from a 
26third party as damages on account of such injuries. A hearing on such petition shall adhere to the 
27same procedural requirement as provided in section 15 of chapter 152.
28 SECTION 3. Chapter 231 of the General Laws, as so appearing, is hereby amended by 
29inserting after section 140C½ the following section:-
30 Section 140D. In any action in which an injured person enters into a settlement with or 
31obtains a judgment from a third party, and benefits for such person’s injuries have been paid 
32under chapter 152, and the injured person and the insurer paying said benefits do not agree to the 
33amount each is entitled to recover out of such settlement or judgment, the court or authority 
34authorized to approve settlements under section 15 of chapter 152 shall determine a just and 
35reasonable apportionment thereof in accordance with this section; provided, however, if the  3 of 3
36settlement or judgment, or funds available to satisfy the judgment, are less than the amount of the 
37injured person’s total damages, the court or other authority authorized to approve settlements 
38under section 15 of chapter 152 may after hearing and evaluation of the injured party’s total 
39damages reduce the amount of the lien. Except in the 	case of a final judgment, the injured party 
40may withdraw consent to settlement if dissatisfied with the apportionment by the court.