Massachusetts 2023-2024 Regular Session

Massachusetts House Bill H944 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. 2484 FILED ON: 1/19/2023
3	3	HOUSE . . . . . . . . . . . . . . . No. 944
4	4	The Commonwealth of Massachusetts
5	5	_________________
6	6	PRESENTED BY:
7	7	Christine P. Barber and Jay D. Livingstone
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 reining in premiums through stronger rate review.
13	13	_______________
14	14	PETITION OF:
15	15	NAME:DISTRICT/ADDRESS :DATE ADDED:Christine P. Barber34th Middlesex1/19/2023Jay D. Livingstone8th Suffolk1/19/2023Lindsay N. Sabadosa1st Hampshire1/19/2023Brian W. Murray10th Worcester1/29/2023Vanna Howard17th Middlesex2/1/2023Jon Santiago9th Suffolk2/6/2023 1 of 3
16	16	HOUSE DOCKET, NO. 2484 FILED ON: 1/19/2023
17	17	HOUSE . . . . . . . . . . . . . . . No. 944
18	18	By Representatives Barber of Somerville and Livingstone of Boston, a petition (accompanied by
19	19	bill, House, No. 944) of Christine P. Barber, Jay D. Livingstone and others relative to small
20	20	group health insurance plan rate review. Financial Services.
21	21	The Commonwealth of Massachusetts
22	22	_______________
23	23	In the One Hundred and Ninety-Third General Court
24	24	(2023-2024)
25	25	_______________
26	26	An Act reining in premiums through stronger rate review.
27	27	Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
28	28	of the same, as follows:
29	29	1 SECTION 1. Section 6 of chapter 176J of the General Laws, as so appearing, is hereby
30	30	2amended by striking subsection (c) and inserting in place thereof the following subsection:-
31	31	3 (c) Notwithstanding any general or special law to the contrary, carriers offering small
32	32	4group health insurance plans, including carriers licensed under chapters 175, 176A, 176B or
33	33	5176G, shall file small group product base rates and any changes to small group rating factors that
34	34	6are to be effective on January 1 of each year, on or before July 1 of the preceding year. The
35	35	7commissioner shall approve, modify or disapprove any proposed changes to base rates; provided,
36	36	8however, that the commissioner shall only modify or disapprove any proposed changes to base
37	37	9rates that are excessive, inadequate or unreasonable in relation to the benefits charged. The
38	38	10commissioner shall disapprove any change to small group rating factors that is discriminatory or
39	39	11not actuarially sound. Rates of reimbursement or rating factors included in the rate filing 2 of 3
40	40	12materials submitted for review by the division shall be deemed confidential and exempt from the
41	41	13definition of public records in clause Twenty-sixth of section 7 of chapter 4.
42	42	14 The commissioner, in consultation with the health policy commission and the center for
43	43	15health information and analysis, shall further consider whether the health insurance plans subject
44	44	16to the proposed rate change are affordable and whether the carrier has implemented effective
45	45	17strategies to enhance the affordability of its plans. To assess affordability, the commissioner may
46	46	18consider the following factors:
47	47	19 (1) implementation of strategies by the carrier to enhance the affordability of its products,
48	48	20including: (i) whether the carrier offers products that address the underlying cost of health care
49	49	21by creating appropriate incentives for consumers, employers, providers and the carrier itself that
50	50	22promote a focus on primary care, prevention and wellness, active management procedures for the
51	51	23chronically ill population, use of appropriate cost-efficient settings and use of evidence based,
52	52	24quality care; (ii) whether the carrier offers a spectrum of product choices to meet consumer
53	53	25needs; and (iii) whether the carrier employs delivery system reform and payment reform
54	54	26strategies to enhance cost effective utilization of appropriate services;
55	55	27 (2) rate change history over the prior three years for the population affected by the
56	56	28proposed rate change;
57	57	29 (3) the hardship on members affected by the proposed rate change and the ability of
58	58	30lower-income individuals to pay for health insurance, including how the proposed rate changes
59	59	31compare to changes in median household income and whether the proposed changes would
60	60	32disproportionately impact people of color based on existing race, ethnicity and language data
61	61	33collected by the carrier; 3 of 3
62	62	34 (4) trends, including: (i) historical rates of trend for existing products; (ii) national
63	63	35medical and health insurance trends; (iii) regional medical and health insurance trends; and (iv)
64	64	36inflation indices, such as the Consumer Price Index;
65	65	37 (5) efforts of the carrier to maintain close control over its administrative costs;
66	66	38 (6) constraints on affordability efforts including: (i) state and federal requirements; (ii)
67	67	39costs of medical services over which plans have limited control; and (iii) health plan solvency
68	68	40requirements; and
69	69	41 (7) any other relevant affordability factor, measurement or analysis as determined by the
70	70	42commissioner.
71	71	43 Nothing in this section shall preclude the commissioner from considering any factor that,
72	72	44in the commissioner’s discretion, is relevant to the final determination. The commissioner shall
73	73	45have authority to issue regulations and bulletins to facilitate consideration of the factors in this
74	74	46section. Nothing in this section shall preclude the commissioner from requesting from a carrier
75	75	47information or data to support these factors.
76	76	48 The commissioner shall adopt regulations to carry out this section.