Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H2384 Compare Versions

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22 HOUSE DOCKET, NO. 3131 FILED ON: 1/16/2025
33 HOUSE . . . . . . . . . . . . . . . No. 2384
44 The Commonwealth of Massachusetts
55 _________________
66 PRESENTED BY:
77 Mark J. Cusack
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 relative to provider choice.
1313 _______________
1414 PETITION OF:
1515 NAME:DISTRICT/ADDRESS :DATE ADDED:Mark J. Cusack5th Norfolk1/16/2025 1 of 4
1616 HOUSE DOCKET, NO. 3131 FILED ON: 1/16/2025
1717 HOUSE . . . . . . . . . . . . . . . No. 2384
1818 By Representative Cusack of Braintree, a petition (accompanied by bill, House, No. 2384) of
1919 Mark J. Cusack relative to the Vaccine Program Advisory Council. Public Health.
2020 The Commonwealth of Massachusetts
2121 _______________
2222 In the One Hundred and Ninety-Fourth General Court
2323 (2025-2026)
2424 _______________
2525 An Act relative to provider choice.
2626 Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
2727 of the same, as follows:
2828 1 SECTION 1. Section 24N of Chapter 111 of the General Laws, as appearing in the 2022
2929 2Official Edition, is hereby amended by striking out paragraph (c) in its entirety and inserting in
3030 3place thereof the following paragraph:-
3131 4 (c) There shall be a vaccine program advisory council consisting of the commissioner of
3232 5public health or a designee, who shall serve as chair; the medical director of the universal
3333 6immunization program of the department of public health established under section 24I; the
3434 7executive director for the center for health information and analysis or a designee; the executive
3535 8director of the commonwealth health insurance connector authority or a designee; 1 person to be
3636 9appointed by the director of Medicaid, who shall be a representative of managed care
3737 10organizations contracting with MassHealth; 3 persons to be appointed by the commissioner of
3838 11insurance, each of whom shall be a representative of 1 of the 3 health insurance companies
3939 12having the most insured lives in the commonwealth; and 7 persons to be appointed by the
4040 13commissioner of public health, 1 of whom shall be a representative of an employer that self- 2 of 4
4141 14insures for health coverage who shall be appointed from lists of nominees submitted by statewide
4242 15associations of employers, 1 of whom shall be a member of the Massachusetts Medical Society,
4343 161 of whom shall be a member of the Massachusetts chapter of the American Academy of
4444 17Pediatrics, 1 of whom shall be a member of the Massachusetts Academy of Family Physicians,
4545 18and 3 of whom shall be physicians licensed to practice in the commonwealth and who shall have
4646 19expertise in the area of childhood vaccines. The council shall recommend the amount of funding
4747 20needed each fiscal year by calculating the total non-federal program cost.
4848 21 SECTION 2. Section 24N of Chapter 111 of the General Laws, as so appearing, is hereby
4949 22amended by striking out paragraph (d) in its entirety and inserting in place thereof the following
5050 23paragraph:-
5151 24 (d) Under regulations adopted by the commissioner of public health, each surcharge
5252 25payor in the commonwealth shall pay to the commissioner of public health, for deposit in the
5353 26Vaccine Purchase Trust Fund, a routine childhood immunizations surcharge assessed by the
5454 27commissioner. By January 1 of each year, the commissioner of public health shall determine the
5555 28total amount of the surcharge for the current fiscal year by determining the final amount required
5656 29to be included in the Vaccine Purchase Trust Fund for the current fiscal year to cover the
5757 30estimated costs to purchase, store and distribute immunizations for routine childhood
5858 31immunizations and to administer the fund and the immunization registry, established pursuant to
5959 32section 24M. The amount shall take into consideration the limitations on expenditures described
6060 33in subsection (b) any anticipated surplus or deficit in the trust fund, and shall exclude any costs
6161 34anticipated to be covered by federal contribution. Any increase in the surcharge amount for the
6262 35prior fiscal year shall not be more than the percentage set as the health care cost growth
6363 36benchmark, established under section 9 of chapter 6D, unless the commissioner of public health 3 of 4
6464 37submits a detailed report to the clerks of the house of representatives and senate who shall
6565 38forward the report to the house and senate committees on ways and means, the house and senate
6666 39chairs of the joint committee on public health and the house and senate chairs of the joint
6767 40committee on health care financing explaining the need for the increase.
6868 41 SECTION 3. Chapter 111 of the General Laws, as so appearing, is hereby amended by
6969 42inserting after section 244 the following section:-
7070 43 Section 245. (1) The department shall implement a provider immunization brand choice
7171 44requirement as part of the Commonwealth’s universal immunization program pursuant to
7272 45sections 24I and 24N of chapter 111; the vaccines for children program operated by the
7373 46department under the authority of 42 U.S.C. §1396s; and in any other existing or future
7474 47immunization program for children or adults administered through the state using local, state or
7575 48federal funds.
7676 49 (2) Pursuant to the provider immunization brand choice requirement, for all categories of
7777 50immunizations included in the programs described in paragraph (1) of this section, all healthcare
7878 51providers participating in these programs must be able to select any brand or type of any
7979 52immunization (including any combination immunization and dosage form), as long as the
8080 53immunization is licensed or authorized for emergency use by the federal Food and Drug
8181 54Administration and recommended by the national Centers for Disease Control and Prevention
8282 55Advisory Committee on Immunization Practices. The department may not limit the ability of
8383 56such healthcare providers to provide an immunization by limiting the supply of immunizations
8484 57purchased by the department This section shall not apply in the event of a shortage or delay in 4 of 4
8585 58vaccine availability, disaster or public health emergency, terrorist attack, hostile military or
8686 59paramilitary action, or extraordinary law enforcement emergency.
8787 60 Use of Vaccine Lists. The department shall use, for the purpose of the purchase, delivery
8888 61and administration of vaccines, the CDC vaccine list established (and periodically reviewed and,
8989 62as appropriate, revised) by the Advisory Committee of Immunization Practices, an advisory
9090 63committee established by the US Secretary of Health and Human services acting through the
9191 64Director of the Centers for Disease Control and Prevention.
9292 65 (3) The department shall implement all or part of the provider immunization brand choice
9393 66requirement as soon as it is determined to be feasible, provided, however, that the department
9494 67shall complete full implementation of the system not later than July 1, 2025.
9595 68