Bill SD.1579

SENATE DOCKET, NO. 1579 FILED ON: 1/16/2025

SENATE . . . . . . . . . . . . . . No.

The Commonwealth of Massachusetts

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PRESENTED BY:

Patrick M. O'Connor

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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 ensuring access to executive physical exams.

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PETITION OF:

Name:	District/Address:
Patrick M. O'Connor	First Plymouth and Norfolk

SENATE DOCKET, NO. 1579 FILED ON: 1/16/2025

SENATE . . . . . . . . . . . . . . No.

[Pin Slip]

The Commonwealth of Massachusetts

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In the One Hundred and Ninety-Fourth General Court
(2025-2026)

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An Act ensuring access to executive physical exams.

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 2020 Official Edition, is hereby amended by inserting after section 30 the following section:

Section 31. (a) Any coverage offered by the commission to any active or retired employee of the commonwealth insured under the group insurance commission shall provide coverage for the provision of an annual executive physical examination.

(b) Reimbursement provided under subsection (a) of this section for an annual executive physical examination in an inpatient setting shall be provided separately from the existing hospital payment for inpatient services.

SECTION 2. Chapter 118E of the General Laws, as appearing in the 2020 Official Edition, is hereby amended by inserting after section 10N the following section:

Section 10O. (a) 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 for the provision of an annual executive physical examination.

SECTION 3. Chapter 175 of the General Laws, as appearing in the 2020 Official Edition, is hereby amended by inserting after section 47PP the following:

Section 47QQ. (a) An individual policy of accident and sickness insurance issued pursuant to section 108 and sickness insurance issued pursuant to section 110 shall provide benefits for residents of the Commonwealth and all group members having a principal place of employment within the Commonwealth coverage for the provision of an annual executive physical examination.

SECTION 4. Chapter 176A of the General Laws, as appearing in the 2020 Official Edition, is hereby amended by inserting after section 8QQ the following:

Section 8RR. (a) Any contract between a subscriber and the corporation under an individual or group hospital service plan that is delivered, issued or renewed within or without the Commonwealth shall provide to all individual subscribers and members within the Commonwealth and to all group members having a principal place of employment within the Commonwealth coverage for the provision an annual physical examination.

SECTION 5. Chapter 176B of the General Laws, as appearing in the 2020 Official Edition, is hereby amended by inserting after section 4QQ the following:

Section 4RR. (a) Any subscription certificate under an individual or group medical service agreement that is delivered, issued or renewed within or without the Commonwealth shall provide to all individual subscribers and members within the Commonwealth and to all group members having a principal place of employment within the Commonwealth coverage for the provision of an annual executive physical examination.

SECTION 6. Chapter 176G of the General Laws, as appearing in the 2020 Official Edition, is hereby amended by inserting after section 4GG the following:

Section 4HH: (a) Any individual or group health maintenance contract that is issued, renewed or delivered within or without the Commonwealth shall provide to residents of the Commonwealth and to persons having a principal place of employment within the Commonwealth coverage for the provision of an annual executive physical examination.

SECTION 7. Sections 1 through 6 of this act shall apply to all policies, contracts and certificates of health insurance subject to chapters 32A, chapter 118E, chapter 175, chapter 176A, chapter 176B, and chapter 176G which are delivered, issued or renewed on or after September 1, 2026.