HOUSE DOCKET, NO. 1959        FILED ON: 1/19/2017

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 597

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Gerard Cassidy

_________________

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 equitable health care access.

_______________

PETITION OF:

 

Name:

District/Address:

Date Added:

Gerard Cassidy

9th Plymouth

1/19/2017


HOUSE DOCKET, NO. 1959        FILED ON: 1/19/2017

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 597

By Mr. Cassidy of Brockton, a petition (accompanied by bill, House, No. 597) of Gerard Cassidy for legislation to ensure equitable health care access.  Health Care Financing.

 

The Commonwealth of Massachusetts

 

_______________

In the One Hundred and Ninetieth General Court
(2017-2018)

_______________

 

An Act ensuring equitable health care access.

 

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

SECTION 1. Section 12 of chapter 6D of the General Laws, as appearing in the 2014 Official Edition, is hereby amended by striking out paragraph (a) and inserting in place thereof the following paragraph:--

(a) No provider or provider organization may negotiate network contracts with any carrier or third-party administrator except for a provider or provider organizations which (1) are registered under this chapter and regulations promulgated under this chapter, and (2) have a percentage of gross patient service revenues from public health care payers that is equal to the median percentage of gross patient service revenues from public health care payers of the acute hospitals in the provider or provider organization’s primary service area; provided, however, that nothing in this chapter shall require a provider or provider organization with a patient panel of 15,000 or fewer or which represents providers who collectively receive, less than $25,000,000 in annual net patient service revenue from carriers or third-party administrators to be registered if such provider or provider is not a risk-bearing provider organization.