Massachusetts 2025-2026 Regular Session

Massachusetts Senate Bill S803 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	1 of 1
2	2	SENATE DOCKET, NO. 1579 FILED ON: 1/16/2025
3	3	SENATE . . . . . . . . . . . . . . No. 803
4	4	The Commonwealth of Massachusetts
5	5	_________________
6	6	PRESENTED BY:
7	7	Patrick M. O'Connor
8	8	_________________
9	9	To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
10	10	Court assembled:
11	11	The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
12	12	An Act ensuring access to executive physical exams.
13	13	_______________
14	14	PETITION OF:
15	15	NAME:DISTRICT/ADDRESS :Patrick M. O'ConnorFirst Plymouth and Norfolk 1 of 4
16	16	SENATE DOCKET, NO. 1579 FILED ON: 1/16/2025
17	17	SENATE . . . . . . . . . . . . . . No. 803
18	18	By Mr. O'Connor, a petition (accompanied by bill, Senate, No. 803) of Patrick M. O'Connor for
19	19	legislation to ensure access to annual executive physical exams to any active or retired employee
20	20	of the commonwealth insured under the group insurance commission. Financial Services.
21	21	The Commonwealth of Massachusetts
22	22	_______________
23	23	In the One Hundred and Ninety-Fourth General Court
24	24	(2025-2026)
25	25	_______________
26	26	An Act ensuring access to executive physical exams.
27	27	Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
28	28	of the same, as follows:
29	29	1 SECTION 1. Chapter 32A of the General Laws, as appearing in the 2020 Official
30	30	2Edition, is hereby amended by inserting after section 30 the following section:
31	31	3 Section 31. (a) Any coverage offered by the commission to any active or retired
32	32	4employee of the commonwealth insured under the group insurance commission shall provide
33	33	5coverage for the provision of an annual executive physical examination.
34	34	6 (b) Reimbursement provided under subsection (a) of this section for an annual executive
35	35	7physical examination in an inpatient setting shall be provided separately from the existing
36	36	8hospital payment for inpatient services.
37	37	9 SECTION 2. Chapter 118E of the General Laws, as appearing in the 2020 Official
38	38	10Edition, is hereby amended by inserting after section 10N the following section: 2 of 4
39	39	11 Section 10O. (a) The division and its contracted health insurers, health plans, health
40	40	12maintenance organizations, behavioral health management firms and third party administrators
41	41	13under contract to a Medicaid managed care organization or primary care clinician plan shall
42	42	14provide coverage for the provision of an annual executive physical examination.
43	43	15 (b) Reimbursement provided under subsection (a) of this section for an annual executive
44	44	16physical examination in an inpatient setting shall be provided separately from the existing
45	45	17hospital payment for inpatient services.
46	46	18 SECTION 3. Chapter 175 of the General Laws, as appearing in the 2020 Official Edition,
47	47	19is hereby amended by inserting after section 47PP the following:
48	48	20 Section 47QQ. (a) An individual policy of accident and sickness insurance issued
49	49	21pursuant to section 108 and sickness insurance issued pursuant to section 110 shall provide
50	50	22benefits for residents of the Commonwealth and all group members having a principal place of
51	51	23employment within the Commonwealth coverage for the provision of an annual executive
52	52	24physical examination.
53	53	25 (b) Reimbursement provided under subsection (a) of this section for an annual executive
54	54	26physical examination in an inpatient setting shall be provided separately from the existing
55	55	27hospital payment for inpatient services.
56	56	28 SECTION 4. Chapter 176A of the General Laws, as appearing in the 2020 Official
57	57	29Edition, is hereby amended by inserting after section 8QQ the following:
58	58	30 Section 8RR. (a) Any contract between a subscriber and the corporation under an
59	59	31individual or group hospital service plan that is delivered, issued or renewed within or without 3 of 4
60	60	32the Commonwealth shall provide to all individual subscribers and members within the
61	61	33Commonwealth and to all group members having a principal place of employment within the
62	62	34Commonwealth coverage for the provision an annual physical examination.
63	63	35 (b) Reimbursement provided under subsection (a) of this section for an annual executive
64	64	36physical examination in an inpatient setting shall be provided separately from the existing
65	65	37hospital payment for inpatient services.
66	66	38 SECTION 5. Chapter 176B of the General Laws, as appearing in the 2020 Official
67	67	39Edition, is hereby amended by inserting after section 4QQ the following:
68	68	40 Section 4RR. (a) Any subscription certificate under an individual or group medical
69	69	41service agreement that is delivered, issued or renewed within or without the Commonwealth
70	70	42shall provide to all individual subscribers and members within the Commonwealth and to all
71	71	43group members having a principal place of employment within the Commonwealth coverage for
72	72	44the provision of an annual executive physical examination.
73	73	45 (b) Reimbursement provided under subsection (a) of this section for an annual executive
74	74	46physical examination in an inpatient setting shall be provided separately from the existing
75	75	47hospital payment for inpatient services.
76	76	48 SECTION 6. Chapter 176G of the General Laws, as appearing in the 2020 Official
77	77	49Edition, is hereby amended by inserting after section 4GG the following:
78	78	50 Section 4HH: (a) Any individual or group health maintenance contract that is issued,
79	79	51renewed or delivered within or without the Commonwealth shall provide to residents of the 4 of 4
80	80	52Commonwealth and to persons having a principal place of employment within the
81	81	53Commonwealth coverage for the provision of an annual executive physical examination.
82	82	54 (b) Reimbursement provided under subsection (a) of this section for an annual executive
83	83	55physical examination in an inpatient setting shall be provided separately from the existing
84	84	56hospital payment for inpatient services.
85	85	57 SECTION 7. Sections 1 through 6 of this act shall apply to all policies, contracts and
86	86	58certificates of health insurance subject to chapters 32A, chapter 118E, chapter 175, chapter
87	87	59176A, chapter 176B, and chapter 176G which are delivered, issued or renewed on or after
88	88	60September 1, 2026.