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2 | 2 | | SENATE DOCKET, NO. 1950 FILED ON: 1/20/2023 |
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3 | 3 | | SENATE . . . . . . . . . . . . . . No. 733 |
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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 | | John J. Cronin |
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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 expanding affordable coverage through ConnectorCare. |
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13 | 13 | | _______________ |
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14 | 14 | | PETITION OF: |
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15 | 15 | | NAME:DISTRICT/ADDRESS :John J. CroninWorcester and MiddlesexSusannah M. Whipps2nd Franklin1/27/2023Joanne M. ComerfordHampshire, Franklin and Worcester1/27/2023Jack Patrick Lewis7th MiddlesexThomas M. Stanley9th Middlesex2/7/2023James B. EldridgeMiddlesex and Worcester2/20/2023Julian CyrCape and Islands2/23/2023 1 of 2 |
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16 | 16 | | SENATE DOCKET, NO. 1950 FILED ON: 1/20/2023 |
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17 | 17 | | SENATE . . . . . . . . . . . . . . No. 733 |
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18 | 18 | | By Mr. Cronin, a petition (accompanied by bill, Senate, No. 733) of John J. Cronin, Susannah M. |
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19 | 19 | | Whipps, Joanne M. Comerford, Jack Patrick Lewis and other members of the General Court for |
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20 | 20 | | legislation to expand affordable coverage through ConnectorCare. Health Care Financing. |
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21 | 21 | | The Commonwealth of Massachusetts |
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22 | 22 | | _______________ |
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23 | 23 | | In the One Hundred and Ninety-Third General Court |
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24 | 24 | | (2023-2024) |
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25 | 25 | | _______________ |
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26 | 26 | | An Act expanding affordable coverage through ConnectorCare. |
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27 | 27 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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28 | 28 | | of the same, as follows: |
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29 | 29 | | 1 SECTION 1. (a) Notwithstanding clause (b) of section 3 of chapter 176Q of the General |
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30 | 30 | | 2Laws or any other general or special law to the contrary, the commonwealth health insurance |
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31 | 31 | | 3connector authority established in section 2 of said chapter 176Q shall implement a 5-year pilot |
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32 | 32 | | 4program to extend eligibility for premium assistance payments or point-of-service cost-sharing |
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33 | 33 | | 5subsidies for applicants at or below 500 percent of the federal poverty guidelines. |
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34 | 34 | | 6 (b) Applicants participating in the pilot program that are between 300 and 500 percent of |
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35 | 35 | | 7the federal poverty guidelines shall have access to a plan that meets at least 90 per cent actuarial |
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36 | 36 | | 8value; provided, that the affordability standard for the pilot program shall be consistent with |
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37 | 37 | | 9current practices pursuant to said section 3 of said chapter 176Q. |
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38 | 38 | | 10 (c) Notwithstanding the second paragraph of section 2OOO of chapter 29 of the General |
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39 | 39 | | 11Laws or any other general or special law to the contrary, amounts necessary to support the 5-year 2 of 2 |
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40 | 40 | | 12pilot program established in subsection (a) shall be expended from the Commonwealth Care |
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41 | 41 | | 13Trust Fund established in said section 2OOO of said chapter 29. |
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42 | 42 | | 14 (d) The commonwealth health insurance connector authority, in consultation with the |
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43 | 43 | | 15center for health information and analysis, shall evaluate the pilot program to assess the public |
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44 | 44 | | 16health, health equity, utilization and financial impacts on residents of reducing out-of-pocket |
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45 | 45 | | 17costs and premium costs. The center shall collect quantitative and qualitative data at the start of |
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46 | 46 | | 18the pilot program and at the end of each year of the pilot program to assess the impact on pilot |
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47 | 47 | | 19program participants. Data points to be collected shall include, but not be limited to: (i) rates of |
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48 | 48 | | 20unmet medical need due to cost; (ii) disparities in rates of unmet medical need due to cost; (iii) |
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49 | 49 | | 21difficulties accessing care at a doctor’s office or clinic; (iv) racial and ethnic disparities in |
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50 | 50 | | 22difficulties accessing care at a doctor’s office or clinic; (v) insurance coverage rates, including |
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51 | 51 | | 23rates of continuous insurance coverage; (vi) racial and ethnic disparities in insurance coverage |
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52 | 52 | | 24rates; (vii) visits to a doctor’s office; and (viii) racial and ethnic disparities in visits to a doctor’s |
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53 | 53 | | 25office. The connector authority shall file reports of its evaluation with the clerks of the house of |
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54 | 54 | | 26representatives and the senate, the house and senate committees on ways and means, the joint |
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55 | 55 | | 27committee on public health and the joint committee on health care financing not later than |
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56 | 56 | | 28December 1, 2026 and December 1, 2029. |
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57 | 57 | | 29 SECTION 2. Section 1 shall take effect on Jan 1, 2024. |
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58 | 58 | | 30 SECTION 3. Section 1 shall be repealed on Dec 31, 2028. |
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