An Act enhancing the market review process

This bill enhances the market review process in Massachusetts to protect independent community hospitals from unfair competition by requiring healthcare providers to notify regulators before making major operational changes. Key provisions mandate that providers submit notice at least 60 days before significant changes, such as mergers, acquisitions, or new facility licenses, allowing the state commission to conduct preliminary reviews for potential impacts on healthcare costs and market competition. The legislation also establishes a presumption of unfair competition if a provider gains a dominant market share while charging higher prices and incurring higher medical expenses compared to peers, which would allow the attorney general to take legal action. Additionally, the bill clarifies that no proposed change can be completed until at least 30 days after the commission issues a final report or until any pending legal action is resolved.