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2 | 2 | | SENATE DOCKET, NO. 388 FILED ON: 1/13/2023 |
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3 | 3 | | SENATE . . . . . . . . . . . . . . No. 737 |
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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 | | Julian Cyr |
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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 to ensure effective health care as a right. |
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13 | 13 | | _______________ |
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14 | 14 | | PETITION OF: |
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15 | 15 | | NAME:DISTRICT/ADDRESS :Julian CyrCape and Islands 1 of 3 |
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16 | 16 | | SENATE DOCKET, NO. 388 FILED ON: 1/13/2023 |
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17 | 17 | | SENATE . . . . . . . . . . . . . . No. 737 |
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18 | 18 | | By Mr. Cyr, a petition (accompanied by bill, Senate, No. 737) of Julian Cyr for legislation to |
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19 | 19 | | ensure effective health care cost control. Health Care Financing. |
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20 | 20 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
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21 | 21 | | SEE SENATE, NO. 758 OF 2021-2022.] |
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22 | 22 | | The Commonwealth of Massachusetts |
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23 | 23 | | _______________ |
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24 | 24 | | In the One Hundred and Ninety-Third General Court |
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25 | 25 | | (2023-2024) |
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26 | 26 | | _______________ |
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27 | 27 | | An Act to ensure effective health care as a right. |
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28 | 28 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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29 | 29 | | of the same, as follows: |
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30 | 30 | | 1 SECTION 1. (a) Notwithstanding any general or special law to the contrary, the |
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31 | 31 | | 2following terms shall have the following meanings unless the context clearly requires otherwise:- |
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32 | 32 | | 3 “Single payer benchmark”, the estimated total costs of providing health care to all |
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33 | 33 | | 4residents of the commonwealth under a single payer health care system in a given year. |
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34 | 34 | | 5 “Single payer health care”, a system that provides publicly financed, universal access to |
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35 | 35 | | 6health care for the population through a unified public health care plan. |
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36 | 36 | | 7 (b) The center for health information and analysis shall recommend a methodology to |
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37 | 37 | | 8develop a single payer benchmark. The single payer health care system considered under the |
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38 | 38 | | 9single payer benchmark shall offer continuous, comprehensive and affordable coverage for all |
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39 | 39 | | 10residents of the commonwealth regardless of income, assets, health status or availability of other 2 of 3 |
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40 | 40 | | 11health coverage. The benchmark may consider the costs of a single-payer health care system at |
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41 | 41 | | 12different actuarial values, levels of cost-sharing and levels of provider reimbursement; provided |
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42 | 42 | | 13however that the benchmark shall include all actuarial values, levels of cost-sharing and levels of |
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43 | 43 | | 14provider reimbursement considered by the center. In developing the methodology, the center |
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44 | 44 | | 15shall monitor, review and evaluate reports related to single payer health care and the |
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45 | 45 | | 16performance of single payer health care systems in other states and countries. |
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46 | 46 | | 17 (c) The center for health information and analysis, in conjunction with the health policy |
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47 | 47 | | 18commission and the division of insurance, shall provide an annual report detailing a comparison |
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48 | 48 | | 19of the actual health care expenditures in the commonwealth for 2024, 2025 and 2026 with the |
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49 | 49 | | 20single payer benchmark for 2024, 2025 and 2026, respectively, indicating whether the |
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50 | 50 | | 21commonwealth would have saved money while expanding access to care under a single payer |
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51 | 51 | | 22health care system. The first report shall be filed by not later than July 1, 2026 to the clerks of the |
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52 | 52 | | 23senate and house of representatives, the joint committee on health care financing and the senate |
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53 | 53 | | 24and house committees on ways and means. |
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54 | 54 | | 25 (d) If a report under subsection (c) determines that the single payer benchmark |
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55 | 55 | | 26outperformed the actual total health care expenditures in the commonwealth in 2024, 2025 and |
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56 | 56 | | 272026 the health policy commission shall submit a proposed single payer health care |
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57 | 57 | | 28implementation plan to the clerks of the senate and house of representatives, the joint committee |
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58 | 58 | | 29on health care financing and the senate and house committees on ways and means within 1 year |
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59 | 59 | | 30of the date that the report is filed. The plan may include proposed legislation to implement a |
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60 | 60 | | 31single payer health care system that offers continuous, comprehensive and affordable coverage |
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61 | 61 | | 32for all residents regardless of income, assets, health status or availability of other health 3 of 3 |
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62 | 62 | | 33coverage. When developing the implementation plan, the commission shall hold not less than 3 |
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63 | 63 | | 34public hearings and seek stakeholder input from across the commonwealth.”. |
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