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SENATE DOCKET, NO. 1072         FILED ON: 1/17/2013

SENATE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 531


The Commonwealth of Massachusetts



Mark C. Montigny


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 to benefit the Health Safety Net Trust Fund.






Mark C. Montigny

Second Bristol and Plymouth

James T. Welch


Denise Andrews

2nd Franklin

Denise Provost

27th Middlesex

Brian R. Mannal

2nd Barnstable

Antonio F. D. Cabral

13th Bristol

Thomas P. Conroy

13th Middlesex

SENATE DOCKET, NO. 1072        FILED ON: 1/17/2013

SENATE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 531

By Mr. Montigny, a petition (accompanied by bill, Senate, No. 531) of Mark C. Montigny, James T. Welch, Denise Andrews, Denise Provost and other members of the General Court for legislation to benefit the Health Safety Net Trust Fund.  Health Care Financing. 

The Commonwealth of Massachusetts


In the Year Two Thousand Thirteen



An Act to benefit the Health Safety Net Trust Fund.

              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.   The Center for Health Information and Analysis shall amend the Health Safety Net Payments and Funding regulations (114.6 CMR 14.00) in order to increase the revenue available for provider payments and to reduce the Health Safety Net fund’s shortfall amount.  Such amendment shall:

              a) Establish a new Large Physician Organizations Assessment that creates a $20,000,000 annual liability for independent physician organizations with more than 500 physician members.  A physician organization - whether a parent physician group or a local practice group as defined by the Center for Health Information and Analysis - shall be considered independent, however organized, so long as such practice is owned and controlled by one or more of the practitioners so associated.   Such independent physician organizations shall be exempt from liability for this new assessment if their percentage of gross billed charges for services reimbursed by the state Office of Medicaid is equal to or greater than 15% of their total gross billed charges for that fiscal year.

              b) Ensure that such Large Physician Organizations who contribute to the Health Safety Net under subsection (a) are reimbursed for uncompensated care in a manner consistent with payments made to hospitals and community health centers under 114.6 CMR 14.00, the Massachusetts Section 1115 Demonstration Waiver governing safety net care, or any other federally required limit on payments under 42 U.S.C.1396a(a)(13) or 42 CFR 447.

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