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2 | 2 | | HOUSE DOCKET, NO. 3388 FILED ON: 1/17/2025 |
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3 | 3 | | HOUSE . . . . . . . . . . . . . . . No. 1141 |
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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 | | Daniel M. Donahue |
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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 increasing access to acute hospital at home services. |
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13 | 13 | | _______________ |
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14 | 14 | | PETITION OF: |
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15 | 15 | | NAME:DISTRICT/ADDRESS :DATE ADDED:Daniel M. Donahue16th Worcester1/17/2025 1 of 3 |
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16 | 16 | | HOUSE DOCKET, NO. 3388 FILED ON: 1/17/2025 |
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17 | 17 | | HOUSE . . . . . . . . . . . . . . . No. 1141 |
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18 | 18 | | By Representative Donahue of Worcester, a petition (accompanied by bill, House, No. 1141) of |
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19 | 19 | | Daniel M. Donahue relative to insurance coverage to expand access to acute hospital at home |
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20 | 20 | | services. Financial Services. |
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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-Fourth General Court |
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24 | 24 | | (2025-2026) |
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25 | 25 | | _______________ |
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26 | 26 | | An Act increasing access to acute hospital at home services. |
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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 X. Chapter 32A of the General Laws, as appearing in the 2022 official edition, |
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30 | 30 | | 2is hereby amended by inserting at the end thereof the following: |
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31 | 31 | | 3 Section XX. The commission shall provide to any active or retired employee of the |
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32 | 32 | | 4commonwealth who is insured under the group insurance commission coverage and |
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33 | 33 | | 5reimbursement on par with in-person services for the cost of hospital at home services provided |
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34 | 34 | | 6by an acute care hospital participating in the Centers for Medicare and Medicaid Services Acute |
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35 | 35 | | 7Hospital Care at Home Program. |
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36 | 36 | | 8 SECTION XX. Chapter 175 of the General Laws, as appearing in the 2022 official |
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37 | 37 | | 9edition, is hereby amended by inserting at the end thereof the following: |
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38 | 38 | | 10 Section XX. An individual policy of accident and sickness insurance issued under section |
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39 | 39 | | 11108 that provides hospital expense and surgical expense insurance and any group blanket or |
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40 | 40 | | 12general policy of accident and sickness insurance issued under section 110 that provides hospital 2 of 3 |
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41 | 41 | | 13expense and surgical expense insurance, which is issued or renewed within or without the |
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42 | 42 | | 14commonwealth, shall provide coverage and reimbursement on par with in-person services for the |
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43 | 43 | | 15cost of hospital at home services provided by an acute care hospital participating in the Centers |
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44 | 44 | | 16for Medicare and Medicaid Services Acute Hospital Care at Home Program. |
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45 | 45 | | 17 SECTION XXX. Chapter 176A of the General Laws, as appearing in the 2022 official |
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46 | 46 | | 18edition, is hereby amended by inserting at the end thereof the following: |
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47 | 47 | | 19 Section XX. A contract between a subscriber and the corporation under an individual or |
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48 | 48 | | 20group hospital service plan which provides hospital expense and surgical expense insurance, |
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49 | 49 | | 21except contracts providing supplemental coverage to Medicare or other governmental programs, |
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50 | 50 | | 22delivered, issued or renewed by agreement between the insurer and the policyholder, within or |
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51 | 51 | | 23without the commonwealth, shall provide coverage and reimbursement on par with in-person |
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52 | 52 | | 24services for the cost of hospital at home services provided by an acute care hospital participating |
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53 | 53 | | 25in the Centers for Medicare and Medicaid Services Acute Hospital Care at Home Program. |
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54 | 54 | | 26 SECTION XXXX. Chapter 176B of the General Laws, as appearing in the 2022 official |
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55 | 55 | | 27edition, is hereby amended by inserting at the end thereof the following: |
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56 | 56 | | 28 Section XX. Any subscription certificate under an individual or group medical service |
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57 | 57 | | 29agreement, except certificates which provide supplemental coverage to medicare or other |
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58 | 58 | | 30governmental programs, which is delivered, issued for delivery or renewed in the |
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59 | 59 | | 31commonwealth, shall provide coverage and reimbursement on par with in-person services for the |
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60 | 60 | | 32cost of hospital at home services provided by an acute care hospital participating in the Centers |
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61 | 61 | | 33for Medicare and Medicaid Services Acute Hospital Care at Home Program. 3 of 3 |
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62 | 62 | | 34 SECTION XXXXX. Chapter 176G of the General Laws, as appearing in the 2022 |
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63 | 63 | | 35official edition, is hereby amended by inserting at the end thereof the following: |
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64 | 64 | | 36 Section XX. Individual and group health maintenance contracts shall provide coverage |
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65 | 65 | | 37and reimbursement on par with on-person services for the cost of hospital at home services |
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66 | 66 | | 38provided by an acute care hospital participating in the Centers for Medicare and Medicaid |
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67 | 67 | | 39Services Acute Hospital Care at Home Program. |
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68 | 68 | | 40 SECTION XXXXX. Chapter 176I of the General Laws, as appearing in the 2022 official |
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69 | 69 | | 41edition, is hereby amended by inserting at the end thereof the following: |
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70 | 70 | | 42 Section XX. An organization entering into a preferred provider contract shall provide |
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71 | 71 | | 43coverage and reimbursement for the cost of hospital at home services provided by an acute care |
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72 | 72 | | 44hospital participating in the Centers for Medicare and Medicaid Services Acute Hospital Care at |
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73 | 73 | | 45Home Program. |
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