HOUSE DOCKET, NO. 2547        FILED ON: 1/17/2019

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 1136

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Donald R. Berthiaume, 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 establishing a commission to investigate fraudulent abuse of MassHealth.

_______________

PETITION OF:

 

Name:

District/Address:

Date Added:

Donald R. Berthiaume, Jr.

5th Worcester

1/17/2019

Joseph D. McKenna

18th Worcester

1/31/2019

Shaunna L. O'Connell

3rd Bristol

1/31/2019

Peter J. Durant

6th Worcester

2/1/2019


HOUSE DOCKET, NO. 2547        FILED ON: 1/17/2019

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 1136

By Mr. Berthiaume of Spencer, a petition (accompanied by bill, House, No. 1136) of Donald R. Berthiaume, Jr. and others for an investigation by a special commission (including members of the General Court) of the billing practices between contracted health care providers and MassHealth.  Health Care Financing.

 

[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE HOUSE, NO. 2981 OF 2017-2018.]

 

The Commonwealth of Massachusetts

 

_______________

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

_______________

 

An Act relative to establishing a commission to investigate fraudulent abuse of MassHealth.

 

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 any general or special law to the contrary, there shall be a special commission to investigate the billing practices between contracted health care providers and MassHealth.

The commission shall include, but not be limited to, the study of savings that would result in addressing fraudulent practices such as falsely billing for services not rendered or double billing.

The commission shall consist of 6 members including the co-chairs of the Joint Committee on Health Care Financing, or their designees; 1 representative of the MassHealth Fraud Division of the Attorney General’s Office; the Secretary of the Executive Office of Health and Human Services, or a designee; Director of MassHealth or a designee; and the Commissioner of Insurance, or a designee

The commission shall convene its first meeting no later than 60 days after the effective date of this act and shall submit its report, along with any recommendations for legislative or regulatory reforms, not later than 1 year after the commission is convened with the clerks of the house of representatives and the senate.