HOUSE DOCKET, NO. 3101        FILED ON: 1/18/2019

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 1088

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Angelo J. Puppolo, Jr.

_________________

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 relative to prescription drug access.

_______________

PETITION OF:

 

Name:

District/Address:

Date Added:

Angelo J. Puppolo, Jr.

12th Hampden

1/18/2019

José F. Tosado

9th Hampden

1/28/2019

Bud L. Williams

11th Hampden

1/30/2019


HOUSE DOCKET, NO. 3101        FILED ON: 1/18/2019

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 1088

By Mr. Puppolo of Springfield, a petition (accompanied by bill, House, No. 1088) of Angelo J. Puppolo, Jr., José F. Tosado and Bud L. Williams relative to benchmarks for access for MassHealth and private health insurance.  Financial Services.

 

The Commonwealth of Massachusetts

 

_______________

In the One Hundred and Ninety-First General Court
(2019-2020)

_______________

 

An Act relative to prescription drug 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. Notwithstanding the provisions of Chapter 118, MassHealth shall not any develop or employ a dollars per-quality adjusted life year, or similar measure that discounts the value of a life because of an individual’s disability, as a threshold to establish what type of health care is cost effective or recommended. MassHealth shall not utilize such an adjusted life year, or such a similar measure, as a threshold to determine coverage, reimbursement, or incentive programs.

SECTION 2. Notwithstanding the provisions of Chapter 175, no health insurance carrier shall develop or employ a dollars per-quality adjusted life year, or similar measure that discounts the value of a life because of an individual’s disability, as a threshold to establish what type of health care is cost effective or recommended. No health insurance carrier shall utilize such an adjusted life year, or such a similar measure, as a threshold to determine coverage, reimbursement, or incentive programs.

SECTION 3. Notwithstanding the provisions of Chapter 176A, no hospital service corporation shall develop or employ a dollars per-quality adjusted life year, or similar measure that discounts the value of a life because of an individual’s disability, as a threshold to establish what type of health care is cost effective or recommended. No hospital service corporation shall utilize such an adjusted life year, or such a similar measure, as a threshold to determine coverage, reimbursement, or incentive programs.

SECTION 4. Notwithstanding the provisions of Chapter 176B, no medical service corporation shall develop or employ a dollars per-quality adjusted life year, or similar measure that discounts the value of a life because of an individual’s disability, as a threshold to establish what type of health care is cost effective or recommended. No medical service corporation shall utilize such an adjusted life year, or such a similar measure, as a threshold to determine coverage, reimbursement, or incentive programs.

SECTION 5. Notwithstanding the provisions of Chapter 176G, no health maintenance organization shall develop or employ a dollars per-quality adjusted life year, or similar measure that discounts the value of a life because of an individual’s disability, as a threshold to establish what type of health care is cost effective or recommended. No health maintenance organization shall utilize such an adjusted life year, or such a similar measure, as a threshold to determine coverage, reimbursement, or incentive programs.