Budget Amendment ID: FY2022-S3-529

EHS 529

Health Care  Provider Reimbursements Related to COVID-19

Messrs. Finegold and O'Connor moved that the proposed new text be amended in section 2, by inserting after section ___ the following section: -


SECTION ___.  Notwithstanding the provisions of section 108B of chapter 175, section 7 of chapter 176B, section 7 of chapter 176E, section 21 of chapter 176G of the General Laws as appearing in the 2020 Official Edition, or any other general or special law to the contrary, the following provisions shall take effect:: --

For the duration of the federal public health emergency related to COVID-19, a health benefit plan shall reimburse a health care provider who bills for incurred personal protective equipment expenses as a separate expense, using the American Medical Association’s current procedural terminology code 99072 or as subsequently amended, $6.57 for each individual patient encounter.

For purposes of this section, cost sharing is limited to the covered service according to the terms and conditions of the health benefit plan and does not apply to an expense for personal protective equipment.

The provisions of this section are not intended to apply to health care services that are not provided in person.

This section  applies prospectively for the duration of the state of emergency related to COVID-19 and takes effect immediately.

This section expires upon the termination of the federal public health emergency related to COVID-19 as proclaimed by the United States Department of Health and Human Services.