Amendment ID: S2133-11

Amendment 11

Mandated Insurance Benefits Report

Mr. Michael O. Moore moves to amend the bill by striking out section 39 and inserting in place thereof the following section:-

“SECTION 39. The center for health information and analysis shall conduct a review and evaluation of the mandated insurance benefits in sections 9, 10 and 23 to 31, inclusive, of this act, pursuant to  section 38C of chapter 3 of the General Laws; provided, that said report shall include an estimate of costs to the state Medicaid program and contracted Medicaid managed care organizations and senior care organizations under Chapter 118, and cost to the state under 45 C.F.R. § 155.170, and any premium subsidies that the state is providing in addition to those under the Affordable Care Act. The center shall also examine and report on:  The extent to which these additional mandates will impact the affordability of Connector coverage; The extent to which ERISA preemption of these mandates will result additional in costs to the merged market under Chapter 176J.

The Center shall examine and report to the Health Policy Commission on the impact that the cost of this act will have on the ability of the Commonwealth to meet the health care cost growth benchmark established under section 9 of chapter 6D.

The review and evaluation shall be posted on the center’s website and shall be filed with the clerks of the senate and the house of representatives, the joint committee on financial services, the joint committee on health care financing and the house and senate committees on ways and means, not later than 120 days from the effective date of this act.”