HOUSE DOCKET, NO. 1291        FILED ON: 1/18/2017

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 616

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

David Paul Linsky and James J. O'Day

_________________

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 protections for hospitals that contract with Medicaid managed care organizations.

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PETITION OF:

 

Name:

District/Address:

Date Added:

David Paul Linsky

5th Middlesex

1/18/2017

James J. O'Day

14th Worcester

2/3/2017

Daniel M. Donahue

16th Worcester

10/19/2017

Thomas J. Calter

12th Plymouth

10/19/2017

Chris Walsh

6th Middlesex

10/19/2017

John J. Mahoney

13th Worcester

10/19/2017

Danielle W. Gregoire

4th Middlesex

10/19/2017

Mary S. Keefe

15th Worcester

10/19/2017


HOUSE DOCKET, NO. 1291        FILED ON: 1/18/2017

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 616

By Messrs. Linsky of Natick and O'Day of West Boylston, a petition (accompanied by bill, House, No. 616) of David Paul Linsky, James J. O'Day and others relative to protections for hospitals that contract with Medicaid managed care organizations.  Health Care Financing.

 

The Commonwealth of Massachusetts

 

_______________

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

_______________

 

An Act ensuring protections for hospitals that contract with Medicaid managed care organizations.

 

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 13E½ of Chapter 118E of the general laws, as appearing in the 2014 official edition, is hereby amended by inserting the following clause at the end of the first paragraph:

“provided further, that acute care hospital reimbursement from managed care organizations that contract with the executive office shall for health services provided to beneficiaries under this chapter be subject to negotiation between those hospitals and managed care organizations and shall not be limited or determined through contracts between the executive office and managed care organizations.”

Section 2:  Subsection (b) of Section 13F of Chapter 118E of the general laws, as so appearing, is hereby amended by inserting at the end of the first paragraph the following new sentence:

“Provided further, the executive office shall not, in its contracts with hospitals or through any other rule or regulation, require hospitals to accept fee-for-service rates established by the office of Medicaid for non-emergency services provided to beneficiaries enrolled in managed care organizations.”