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| 2 | 2 | | HOUSE DOCKET, NO. 1841 FILED ON: 1/15/2025 |
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| 3 | 3 | | HOUSE . . . . . . . . . . . . . . . No. 1321 |
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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 | | Greg Schwartz |
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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 relative to transparency of consumer health insurance rights. |
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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:Greg Schwartz12th Middlesex1/15/2025Natalie M. Higgins4th Worcester1/27/2025 1 of 2 |
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| 16 | 16 | | HOUSE DOCKET, NO. 1841 FILED ON: 1/15/2025 |
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| 17 | 17 | | HOUSE . . . . . . . . . . . . . . . No. 1321 |
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| 18 | 18 | | By Representative Schwartz of Newton, a petition (accompanied by bill, House, No. 1321) of |
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| 19 | 19 | | Greg Schwartz and Natalie M. Higgins relative to the display of information on enrollment cards |
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| 20 | 20 | | of health plans. Financial Services. |
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| 21 | 21 | | [SIMILAR MATTER FILED IN PREVIOUS SESSION |
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| 22 | 22 | | SEE HOUSE, NO. 937 OF 2023-2024.] |
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| 23 | 23 | | The Commonwealth of Massachusetts |
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| 24 | 24 | | _______________ |
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| 25 | 25 | | In the One Hundred and Ninety-Fourth General Court |
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| 26 | 26 | | (2025-2026) |
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| 27 | 27 | | _______________ |
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| 28 | 28 | | An Act relative to transparency of consumer health insurance rights. |
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| 29 | 29 | | Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority |
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| 30 | 30 | | of the same, as follows: |
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| 31 | 31 | | 1 Chapter 176O, as appearing in the 2022 Official Edition, is hereby amended by striking |
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| 32 | 32 | | 2out section 19 and inserting in place thereof the following section:- |
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| 33 | 33 | | 3 Section 19. Display of information on enrollment cards of carrier |
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| 34 | 34 | | 4 (a) A carrier shall state prominently on the front or back of its enrollment cards the |
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| 35 | 35 | | 5following: |
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| 36 | 36 | | 6 (1) The statement “This health plan is fully-insured, subject to all Massachusetts |
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| 37 | 37 | | 7insurance laws.” |
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| 38 | 38 | | 8 (2) The name of the carrier, and the name of the insured’s specific health plan, including |
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| 39 | 39 | | 9any numbers or other information necessary to identify the insured’s plan. 2 of 2 |
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| 40 | 40 | | 10 (3) A toll-free telephone number for the member services department of the carrier. |
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| 41 | 41 | | 11 (4) The name and toll-free telephone number of the member services department of any |
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| 42 | 42 | | 12third party that administers behavioral health, prescription drug, or other benefits. |
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| 43 | 43 | | 13 (5) The amount of any copayment under the plan for preventive care visits, office visits, |
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| 44 | 44 | | 14emergency department visits and prescription drugs. |
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| 45 | 45 | | 15 (6) Whether the plan has a deductible, and the amount of any deductible under the plan. |
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| 46 | 46 | | 16 (7) Any other information required by the commissioner of insurance. |
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