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HOUSE DOCKET, NO. 2175        FILED ON: 1/20/2011

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 2353


The Commonwealth of Massachusetts



Bradley H. Jones, Jr.


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 managed care organization.






Bradley H. Jones, Jr.

20th Middlesex

Donald F. Humason, Jr.

4th Hampden

Marc T. Lombardo

22nd Middlesex

Randy Hunt

5th Barnstable

F. Jay Barrows

1st Bristol

Shaunna O'Connell

3rd Bristol

Susan Williams Gifford

2nd Plymouth

Donald H. Wong

9th Essex

Daniel K. Webster

6th Plymouth

Todd M. Smola

1st Hampden

Kevin J. Kuros

8th Worcester

Ryan C. Fattman

18th Worcester

Sheila C. Harrington

1st Middlesex

Kimberly N. Ferguson

1st Worcester

Matthew A. Beaton

11th Worcester

Nicholas A. Boldyga

3rd Hampden

Steven L. Levy

4th Middlesex

David T. Vieira

3rd Barnstable

Paul K. Frost

7th Worcester

George T. Ross

2nd Bristol

George N. Peterson, Jr.

9th Worcester

Bradford Hill

4th Essex

Elizabeth A. Poirier

14th Bristol

Viriato Manuel deMacedo

1st Plymouth

HOUSE DOCKET, NO. 2175        FILED ON: 1/20/2011

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 2353

By Mr. Jones of North Reading, a petition (accompanied by bill, House, No. 2353) of Bradley H. Jones, Jr., and others relative to managed care organization.  Public Health. 


The Commonwealth of Massachusetts



In the Year Two Thousand Eleven



An Act relative to managed care organization.


              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 118E of the General Laws, as appearing in the 2008 Official Edition, is hereby amended by adding the following new section:-

              "Section 63. The executive office of health and human services shall discontinue membership in the MassHealth fee-for-service program and primary care clinician plan, and shall begin enrolling all members meeting eligibility requirements as established pursuant to applicable federal and state law and regulation, and for whom the discontinuation would result in cost savings for the MassHealth program, into a Medicaid managed care organization that has contracted with the commonwealth to deliver such managed care services, in accordance with the enrollment and assignment processes for other eligible categories and at the appropriate levels of premium. The office shall submit a report to the joint committee on health care financing and the clerks of the house and the senate by June 30, 2012 detailing which members it has newly enrolled in a Medicaid managed care organization, which members it has maintained in the MassHealth fee-for-service program and primary care clinician plan, and an actuarial justification for those members who have not been transferred to a Medicaid managed care organization.".

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