Massachusetts 2023-2024 Regular Session

Massachusetts Senate Bill S737 Compare Versions

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22 SENATE DOCKET, NO. 388 FILED ON: 1/13/2023
33 SENATE . . . . . . . . . . . . . . No. 737
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 Julian Cyr
88 _________________
99 To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
1010 Court assembled:
1111 The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
1212 An Act to ensure effective health care as a right.
1313 _______________
1414 PETITION OF:
1515 NAME:DISTRICT/ADDRESS :Julian CyrCape and Islands 1 of 3
1616 SENATE DOCKET, NO. 388 FILED ON: 1/13/2023
1717 SENATE . . . . . . . . . . . . . . No. 737
1818 By Mr. Cyr, a petition (accompanied by bill, Senate, No. 737) of Julian Cyr for legislation to
1919 ensure effective health care cost control. Health Care Financing.
2020 [SIMILAR MATTER FILED IN PREVIOUS SESSION
2121 SEE SENATE, NO. 758 OF 2021-2022.]
2222 The Commonwealth of Massachusetts
2323 _______________
2424 In the One Hundred and Ninety-Third General Court
2525 (2023-2024)
2626 _______________
2727 An Act to ensure effective health care as a right.
2828 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
2929 of the same, as follows:
3030 1 SECTION 1. (a) Notwithstanding any general or special law to the contrary, the
3131 2following terms shall have the following meanings unless the context clearly requires otherwise:-
3232 3 “Single payer benchmark”, the estimated total costs of providing health care to all
3333 4residents of the commonwealth under a single payer health care system in a given year.
3434 5 “Single payer health care”, a system that provides publicly financed, universal access to
3535 6health care for the population through a unified public health care plan.
3636 7 (b) The center for health information and analysis shall recommend a methodology to
3737 8develop a single payer benchmark. The single payer health care system considered under the
3838 9single payer benchmark shall offer continuous, comprehensive and affordable coverage for all
3939 10residents of the commonwealth regardless of income, assets, health status or availability of other 2 of 3
4040 11health coverage. The benchmark may consider the costs of a single-payer health care system at
4141 12different actuarial values, levels of cost-sharing and levels of provider reimbursement; provided
4242 13however that the benchmark shall include all actuarial values, levels of cost-sharing and levels of
4343 14provider reimbursement considered by the center. In developing the methodology, the center
4444 15shall monitor, review and evaluate reports related to single payer health care and the
4545 16performance of single payer health care systems in other states and countries.
4646 17 (c) The center for health information and analysis, in conjunction with the health policy
4747 18commission and the division of insurance, shall provide an annual report detailing a comparison
4848 19of the actual health care expenditures in the commonwealth for 2024, 2025 and 2026 with the
4949 20single payer benchmark for 2024, 2025 and 2026, respectively, indicating whether the
5050 21commonwealth would have saved money while expanding access to care under a single payer
5151 22health care system. The first report shall be filed by not later than July 1, 2026 to the clerks of the
5252 23senate and house of representatives, the joint committee on health care financing and the senate
5353 24and house committees on ways and means.
5454 25 (d) If a report under subsection (c) determines that the single payer benchmark
5555 26outperformed the actual total health care expenditures in the commonwealth in 2024, 2025 and
5656 272026 the health policy commission shall submit a proposed single payer health care
5757 28implementation plan to the clerks of the senate and house of representatives, the joint committee
5858 29on health care financing and the senate and house committees on ways and means within 1 year
5959 30of the date that the report is filed. The plan may include proposed legislation to implement a
6060 31single payer health care system that offers continuous, comprehensive and affordable coverage
6161 32for all residents regardless of income, assets, health status or availability of other health 3 of 3
6262 33coverage. When developing the implementation plan, the commission shall hold not less than 3
6363 34public hearings and seek stakeholder input from across the commonwealth.”.