H 1011 Massachusetts House · 193rd Legislature (2023-2024)

An Act relative to fair and equitable compensation for medical services

This bill amends Massachusetts law to prevent health insurance companies from lowering payment rates for specific medical services, such as evaluations and procedures, if a doctor also performs other minor surgeries on the same day. It directly affects health care providers and their insurance carriers by making it illegal to reduce reimbursement for these covered services solely because of concurrent billing. The legislation voids any existing contract clauses that allow for such payment reductions, ensuring that providers receive their agreed-upon negotiated rates regardless of the volume of services rendered in a single visit. Additionally, the bill clarifies that for plans where the insurer only handles administrative tasks, the insurer's obligation is limited to recommending coverage authorization rather than managing payment details.
Bill status passed 3 of 4 stages cleared
Introduction
Feb 2023
Committee Review
Apr 2024
Senate Passage
Feb 2023
Governor
Introduced Feb 16, 2023 Last action Apr 18, 2024
Floor votes

How they voted

This bill passed the Senate. No roll call record of that vote is available.
Full legislative history

Actions timeline

Total actions
6
Key actions
1
Committee
3
Apr 18, 2024
Committee
Committee recommended bill ought to pass and referred to the committee on House Ways and Means
lower
Mar 7, 2024
Committee
Reported favorably by committee and referred to the committee on Health Care Financing
lower
Feb 16, 2023
Upper · Passed
Senate concurred
upper
Feb 16, 2023
Committee
Referred to the committee on Financial Services
lower
1 primary · 4 co-sponsors

Sponsors