Skip to Content
December 05, 2025 Clouds | 19°F
The 194th General Court of the Commonwealth of Massachusetts

Bill S.867 194th (Current)

An Act relative to primary care for you

By Ms. Friedman, a petition (accompanied by bill, Senate, No. 867) of Cindy F. Friedman, Rebecca L. Rausch, Joanne M. Comerford and Mike Connolly for legislation relative to primary care for you. Health Care Financing.

View Text Print Preview Download PDF

Bill Information

Presenter:
Cindy F. Friedman
Status:
Referred to Senate Committee on Ways and Means
Special Attachments:
Committee - Senate member votes
This bill takes several different approaches to increase investment in primary care, including: -Requiring the Health Policy Commission (HPC) and the Center for Health Information and Analysis (CHIA) to set a primary care expenditure target goal for the Commonwealth and individual entities so that by 2030 not less than 12% of total health care expenditures is spent on primary care; -Replacing the primary care task force established by chapter 343 of the acts of 2024 with a permanent primary care board under the HPC to: (i) study primary care access, delivery and payment in the commonwealth; (ii) develop and issue recommendations to stabilize and strengthen the primary care system and increase recruitment and retention in the primary care workforce; and (iii) increase the financial investment in and patient access to primary care across the commonwealth; -Directing the primary care board to develop an all-payer primary care capitation model that can be implemented by all health insurers in the commonwealth to the extent permissible under federal law and to take into consideration MassHealth’s primary care sub-capitation program; -Directing the Department of Insurance (DOI) to promulgate rules and regulations for health insurers to implement the same all-payer primary care capitation model and to take into consideration recommendations from the primary care board; -Requiring health insurers to offer contracted primary care providers and provider organizations the option to participate in the all-payer primary care capitation model and to receive a prospective per-member per-month payment for patients receiving primary care; -Requiring commercial insurance rate parity with MassHealth for federally qualified health center (FQHC) services provided by community health centers (CHC)s; -Requiring commercial insurance coverage and rate parity with MassHealth for community behavioral health center (CBHC) services and prohibiting cost-sharing for CBHC services; and -Requiring commercial insurance coverage and rate add-ons for behavioral health urgent care (BHUC) services and prohibiting cost-sharing.
* The bill summary was created by the Primary Sponsor of the bill; no committee of the General Court certifies the accuracy of its contents.

The information contained in this website is for general information purposes only. The General Court provides this information as a public service and while we endeavor to keep the data accurate and current to the best of our ability, we make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the website or the information contained on the website for any purpose. Any reliance you place on such information is therefore strictly at your own risk.