H 1160 Massachusetts House · 193rd Legislature (2023-2024)

An Act relative to direct primary care

This bill prohibits health insurance carriers in Massachusetts from denying payment for covered medical services simply because the referral was made by a doctor who is not part of the insurer's preferred network. The legislation directly affects patients seeking care from out-of-network providers and the insurance companies that currently manage provider networks. By amending multiple state laws, the act ensures that insurers must pay for services regardless of whether the referring physician is in-network, thereby removing a specific barrier to accessing direct primary care. Additionally, the bill includes separate amendments to drug prescribing laws to clarify how controlled substances can be dispensed.
Bill status passed 3 of 4 stages cleared
Introduction
Feb 2023
Committee Review
Feb 2023
Senate Passage
Feb 2023
Governor
Introduced Feb 16, 2023 Last action May 30, 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
4
Key actions
1
Committee
1
Feb 16, 2023
Upper · Passed
Senate concurred
upper
Feb 16, 2023
Committee
Referred to the committee on Financial Services
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Tom Walsh
Tom Walsh
DDemocratic
MA
12th Essex