HOUSE DOCKET, NO. 1841 FILED ON: 1/15/2025
HOUSE . . . . . . . . . . . . . . . No. 1321
|
The Commonwealth of Massachusetts
_________________
PRESENTED BY:
Greg Schwartz
_________________
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 transparency of consumer health insurance rights.
_______________
PETITION OF:
Name: | District/Address: | Date Added: |
Greg Schwartz | 12th Middlesex | 1/15/2025 |
Natalie M. Higgins | 4th Worcester | 1/27/2025 |
Steven Owens | 29th Middlesex | 4/25/2025 |
Lindsay N. Sabadosa | 1st Hampshire | 3/22/2025 |
Margaret R. Scarsdale | 1st Middlesex | 3/28/2025 |
Mark D. Sylvia | 10th Bristol | 5/23/2025 |
HOUSE DOCKET, NO. 1841 FILED ON: 1/15/2025
HOUSE . . . . . . . . . . . . . . . No. 1321
By Representative Schwartz of Newton, a petition (accompanied by bill, House, No. 1321) of Greg Schwartz and Natalie M. Higgins relative to the display of information on enrollment cards of health plans. Financial Services. |
[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE HOUSE, NO. 937 OF 2023-2024.]
The Commonwealth of Massachusetts
_______________
In the One Hundred and Ninety-Fourth General Court
(2025-2026)
_______________
An Act relative to transparency of consumer health insurance rights.
Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:
Chapter 176O, as appearing in the 2022 Official Edition, is hereby amended by striking out section 19 and inserting in place thereof the following section:-
Section 19. Display of information on enrollment cards of carrier
(a) A carrier shall state prominently on the front or back of its enrollment cards the following:
(1) The statement “This health plan is fully-insured, subject to all Massachusetts insurance laws.”
(2) The name of the carrier, and the name of the insured’s specific health plan, including any numbers or other information necessary to identify the insured’s plan.
(3) A toll-free telephone number for the member services department of the carrier.
(4) The name and toll-free telephone number of the member services department of any third party that administers behavioral health, prescription drug, or other benefits.
(5) The amount of any copayment under the plan for preventive care visits, office visits, emergency department visits and prescription drugs.
(6) Whether the plan has a deductible, and the amount of any deductible under the plan.
(7) Any other information required by the commissioner of insurance.