HOUSE DOCKET, NO. 1503        FILED ON: 1/16/2019

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 1156

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Kenneth I. Gordon

_________________

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 urgent care access for MassHealth enrollees.

_______________

PETITION OF:

 

Name:

District/Address:

Date Added:

Kenneth I. Gordon

21st Middlesex

1/16/2019

Marjorie C. Decker

25th Middlesex

2/1/2019

James K. Hawkins

2nd Bristol

2/1/2019

Stephan Hay

3rd Worcester

1/30/2019

Randy Hunt

5th Barnstable

1/24/2019

Mary S. Keefe

15th Worcester

1/28/2019

Lenny Mirra

2nd Essex

1/24/2019

Brian W. Murray

10th Worcester

1/29/2019

Steven Ultrino

33rd Middlesex

1/25/2019


HOUSE DOCKET, NO. 1503        FILED ON: 1/16/2019

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 1156

By Mr. Gordon of Bedford, a petition (accompanied by bill, House, No. 1156) of Kenneth I. Gordon and others relative to urgent care access for MassHealth enrollees.  Health Care Financing.

 

The Commonwealth of Massachusetts

 

_______________

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

_______________

 

An Act relative to urgent care access for MassHealth enrollees.

 

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. Chapter 118E is hereby amended by inserting after section 10L, inserted by section 71 of chapter 208 of the acts of 2018 the following section:-

Section 10M. The division and its contracted health insurers, health plans, health maintenance organizations, behavioral health management firms and third party administrators under contract to a Medicaid managed care organization or primary care clinician plan shall not require an enrollee to obtain a referral from a primary care physician prior to obtaining health care services from an urgent care facility; provided , that any urgent care facility providing health care services to an enrollee shall provide the enrollee with names of primary care physicians contracted with MassHealth and practicing in the municipality of residence of the enrollee or an adjacent municipality.