HOUSE DOCKET, NO. 1040 FILED ON: 1/18/2017
HOUSE . . . . . . . . . . . . . . . No. 617
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The Commonwealth of Massachusetts
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PRESENTED BY:
David M. Nangle
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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 prohibit material changes for above benchmark providers.
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PETITION OF:
Name: | District/Address: | Date Added: |
David M. Nangle | 17th Middlesex | 1/18/2017 |
HOUSE DOCKET, NO. 1040 FILED ON: 1/18/2017
HOUSE . . . . . . . . . . . . . . . No. 617
By Mr. Nangle of Lowell, a petition (accompanied by bill, House, No. 617) of David M. Nangle relative to the exceeding of health care cost growth benchmarks by certain providers or provider organizations. Health Care Financing. |
The Commonwealth of Massachusetts
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In the One Hundred and Ninetieth General Court
(2017-2018)
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An Act to prohibit material changes for above benchmark providers.
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 8 of Chapter 6D of the General Laws, as appearing in the Official Edition, is hereby amended by inserting after the last sentence in paragraph (b), the following new language:
“Any provider or provider organization that has been identified by the center under section 18 of chapter 12C as exceeding the heath care cost growth benchmark for any given year or whose average relative price for the prior three years exceeds 1.0, shall be prohibited by the commission from making any material change to its operations or governance structure that would otherwise require notice to the commission pursuant to section 13 of this chapter. The commission may exclude a provider or provider organization from this prohibition if the market share of the provider or provider organization is below a threshold as determined by the commission, or if the provider or provider organization’s total medical expenses or relative price are below the statewide median. The prohibition shall continue until the center has determined that the provider or provider organization has lowered its relative price and total medical expenses to a level at or below the cost growth benchmark."