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2 | 2 | | SENATE DOCKET, NO. 93 FILED ON: 1/10/2023 |
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3 | 3 | | SENATE . . . . . . . . . . . . . . No. 807 |
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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 | | Bruce E. Tarr |
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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 empowering patients and entrepreneurs with real transparency on cost. |
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13 | 13 | | _______________ |
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14 | 14 | | PETITION OF: |
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15 | 15 | | NAME:DISTRICT/ADDRESS :Bruce E. TarrFirst Essex and Middlesex 1 of 2 |
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16 | 16 | | SENATE DOCKET, NO. 93 FILED ON: 1/10/2023 |
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17 | 17 | | SENATE . . . . . . . . . . . . . . No. 807 |
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18 | 18 | | By Mr. Tarr, a petition (accompanied by bill, Senate, No. 807) of Bruce E. Tarr for legislation to |
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19 | 19 | | empower patients and entrepreneurs with real transparency on cost. Health Care Financing. |
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20 | 20 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
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21 | 21 | | SEE SENATE, NO. 723 OF 2019-2020.] |
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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 empowering patients and entrepreneurs with real transparency on cost. |
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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. Section 10 of said chapter 12C, as so appearing, is hereby amended by |
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31 | 31 | | 2striking out subsection (e) and inserting in place thereof the following:- (e) The center shall |
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32 | 32 | | 3under the procedures established by Medicare release at least annually all hospital data including |
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33 | 33 | | 4payment and utilization information for services that may be provided in connection with at least |
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34 | 34 | | 5the 100 most common inpatient stays. The center may release claims data on at least the 10 most |
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35 | 35 | | 6expensive kinds of inpatient stays on average by payer. The center shall release claims data on |
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36 | 36 | | 7the 100 most common outpatient procedures. The center may release claims data on the 10 most |
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37 | 37 | | 8expensive kinds of outpatient procedures. The center shall release physician, practitioner, and |
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38 | 38 | | 9other supplier utilization and payment data that consists of information on services and |
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39 | 39 | | 10procedures provided to patients by physicians and other healthcare professionals. The data shall |
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40 | 40 | | 11show at least allowed amounts and submitted charges, for those services and procedures by 2 of 2 |
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41 | 41 | | 12provider. It should allow for comparisons by physician, specialty, location, types of medical |
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42 | 42 | | 13services and procedures delivered, payment and submitted charges. Claims for providers that |
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43 | 43 | | 14have provided less than five of a certain procedures or service to patients may be excluded by the |
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44 | 44 | | 15center. The center shall release claims data on the 100 most commonly prescribed drugs, and the |
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45 | 45 | | 1610 most expensive drugs on average by payer. The center may release any other related claims |
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46 | 46 | | 17data the center already collects as part of the categories listed above. |
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47 | 47 | | 18 The center shall not be required to build a consumer tool to sort the date, but at a |
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48 | 48 | | 19minimum must make it available to the public on their website on an annual basis in a raw but |
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49 | 49 | | 20useable form. The center may also incorporate any of the released data listed above into their |
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50 | 50 | | 21consumer health information website as established in section 20 of chapter 12C. |
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