SENATE DOCKET, NO. 1657        FILED ON: 1/21/2011

SENATE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 466

The Commonwealth of Massachusetts

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PRESENTED BY:

Michael F. Rush

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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 promote health care cost containment through select and tiered network plans.

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PETITION OF:

SENATE DOCKET, NO. 1657        FILED ON: 1/21/2011

SENATE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 466

The Commonwealth of Massachusetts

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In the Year Two Thousand Eleven

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An Act to promote health care cost containment through select and tiered network plans.

Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:
 

               Section 9A of chapter 176O of the General Laws, as created by Chapter 288 of the Acts of 2010, is hereby amended by striking out subsection (a), and replacing it with the following:-

               (a) (i) limits the ability of the carrier to introduce or modify a select network plan or tiered network plan by granting the health care provider a guaranteed right of participation; (ii) requires the carrier to place all members of a provider group, whether local practice groups or facilities, in the same tier of a tiered network plan; or (iii) requires the carrier to include all members of a provider group, whether local practice groups or facilities, in a select network plan on an all-or-nothing basis; or