HOUSE . . . . . . . . No. 4362 The Commonwealth of Massachusetts ________________________________________ 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 _______________ In the One Hundred and Ninety-Third General Court (2023-2024) _______________ 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.