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HOUSE DOCKET, NO. 3215 FILED ON: 1/16/2025
HOUSE . . . . . . . . . . . . . . . No. 1299
The Commonwealth of Massachusetts
_________________
PRESENTED BY:
David Allen Robertson
_________________
To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:
The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
An Act to increase enrollment in affordable health plan networks.
_______________
PETITION OF:
NAME:DISTRICT/ADDRESS :DATE ADDED:David Allen Robertson19th Middlesex1/16/2025 1 of 2
HOUSE DOCKET, NO. 3215 FILED ON: 1/16/2025
HOUSE . . . . . . . . . . . . . . . No. 1299
By Representative Robertson of Tewksbury, a petition (accompanied by bill, House, No. 1299)
of David Allen Robertson for legislation to increase enrollment in affordable health plan
networks. Financial Services.
[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE HOUSE, NO. 1125 OF 2023-2024.]
The Commonwealth of Massachusetts
_______________
In the One Hundred and Ninety-Fourth General Court
(2025-2026)
_______________
An Act to increase enrollment in affordable health plan networks.
Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
of the same, as follows:
1 SECTION 1. Subsection (a) of section 11 of chapter 176J of the General Laws is hereby
2amended by inserting at the end thereof the following:-
3 The commissioner may also exempt carriers from complying with this section based on
4(i) whether the majority of a carrier’s chapter 176J membership is enrolled in a single rate
5region; or (ii) whether the majority of the carrier’s chapter 176J membership is enrolled in
6subsidized coverage offered under chapter 176Q through which such members receive state or
7federal subsidies; or (iii) whether the carrier receives 80 per cent or more of its income from
8government programs, including subsidized coverage offered under chapter 176Q through which
9such members receive state or federal subsidies. 2 of 2
10 SECTION 2. Section 9A of chapter 176O of the General Laws is hereby amended by
11striking out subsection (a) and inserting in place thereof the following subsection:-
12 "(a)(i) limits the ability of the carrier to introduce or modify a select network plan or
13tiered network plan by granting the health care provider a guaranteed right of participation; (ii)
14requires the carrier to place all members of a provider group, whether local practice groups or
15facilities, in the same tier of a tiered network plan; or (iii) requires the carrier to include all
16members of a provider group, whether local practice groups or facilities, in a select network plan
17on an all-or-nothing basis; or"