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