Bill H.1231

HOUSE DOCKET, NO. 3586 FILED ON: 2/19/2021

HOUSE . . . . . . . . . . . . . . . No. 1231

By Ms. Cronin of Easton, a petition (accompanied by bill, House, No. 1231) of Claire D. Cronin relative to health insurance coverage for emergency and inpatient services. Financial Services.

The Commonwealth of Massachusetts

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In the One Hundred and Ninety-Second General Court
(2021-2022)

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An Act relative to health insurance coverage.

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 32A of the General Laws, as appearing in the 2018 Official Edition, is hereby amended by inserting after section 17Q the following section:-

Section 17R. Any coverage offered by the commission to an active or retired employee of the commonwealth insured under the group insurance commission shall provide coverage, without any requirement of cost sharing by the insured, for all emergency and inpatient services, including all professional, diagnostic and laboratory services, rehabilitation services, and outpatient diagnostic testing related to any disease defined as dangerous to the public health by the department of public health pursuant to section 6 of chapter 111 or any disease related to a state of emergency declared by the governor, at both in-network and out-of-network providers. Coverage for diagnostic testing shall include testing for symptomatic and asymptomatic individuals.

SECTION 2. Chapter 118E of the General Laws is hereby amended by inserting after section 10L 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 provide coverage, without any requirement of cost sharing by the insured, for all emergency and inpatient services, including all professional, diagnostic and laboratory services, rehabilitation services, and outpatient diagnostic testing related to any disease defined as dangerous to the public health by the department of public health pursuant to section 6 of chapter 111 or any disease related to a state of emergency declared by the governor, at both in-network and out-of-network providers. Coverage for diagnostic testing shall include testing for symptomatic and asymptomatic individuals.

SECTION 3. Chapter 175 of the General Laws is hereby amended by inserting after section 47KK the following section:-

Section 47LL. Any individual policy of accident or sickness insurance issued pursuant to this chapter shall provide coverage, without any requirement of cost sharing by the insured, for all emergency and inpatient services, including all professional, diagnostic and laboratory services, rehabilitation services, and outpatient diagnostic testing related to any disease defined as dangerous to the public health by the department of public health pursuant to section 6 of chapter 111 or any disease related to a state of emergency declared by the governor, at both in-network and out-of-network providers. Coverage for diagnostic testing shall include testing for symptomatic and asymptomatic individuals.

SECTION 4. Chapter 176A of the General Laws is hereby amended by inserting after section 8MM the following section:-

Section 8NN. Any contract between a subscriber and the corporation under an individual group or hospital service plan that is delivered, issued or renewed within the commonwealth shall provide coverage, without any requirement of cost sharing by the insured, for all emergency and inpatient services, including all professional, diagnostic and laboratory services, rehabilitation services, and outpatient diagnostic testing related to any disease defined as dangerous to the public health by the department of public health pursuant to section 6 of chapter 111 or any disease related to a state of emergency declared by the governor, at both in-network and out-of-network providers. Coverage for diagnostic testing shall include testing for symptomatic and asymptomatic individuals.

SECTION 5. Chapter 176B of the General Laws is hereby amended by inserting after section 4MM the following section:-

Section 4NN. Any subscription certificate under an individual or group medical service agreement delivered, issued or renewed within the commonwealth shall provide coverage, without any requirement of cost sharing by the insured, for all emergency and inpatient services, including all professional, diagnostic and laboratory services, rehabilitation services, and outpatient diagnostic testing related to any disease defined as dangerous to the public health by the department of public health pursuant to section 6 of chapter 111 or any disease related to a state of emergency declared by the governor, at both in-network and out-of-network providers. Coverage for diagnostic testing shall include testing for symptomatic and asymptomatic individuals.

SECTION 6. Chapter 176G of the General Laws is hereby amended by inserting after section 4EE the following section:-

Section 4FF. Any individual or group health maintenance contract shall provide coverage, without any requirement of cost sharing by the insured, for all emergency and inpatient services, including all professional, diagnostic and laboratory services, rehabilitation services, and outpatient diagnostic testing related to any disease defined as dangerous to the public health by the department of public health pursuant to section 6 of chapter 111 or any disease related to a state of emergency declared by the governor, at both in-network and out-of-network providers. Coverage for diagnostic testing shall include testing for symptomatic and asymptomatic individuals.

SECTION 7. Chapter 176I of the General Laws is hereby amended by inserting after section 4A the following section:-

Section 4B. Any preferred provider contract between an individual and an organization shall provide coverage, without any requirement of cost sharing by the insured, for all emergency and inpatient services, including all professional, diagnostic and laboratory services, rehabilitation services, and outpatient diagnostic testing related to any disease defined as dangerous to the public health by the department of public health pursuant to section 6 of chapter 111 or any disease related to a state of emergency declared by the governor, at both in-network and out-of-network providers. Coverage for diagnostic testing shall include testing for symptomatic and asymptomatic individuals.

Name:	District/Address:	Date Added:
Claire D. Cronin	11th Plymouth	2/19/2021