H 1227 Massachusetts House · 193rd Legislature (2023-2024)

An Act to reduce racial and ethnic health disparities through commercial rate equity for safety net hospitals

This bill requires insurance companies in Massachusetts to pay safety net hospitals at least as much as the state's average commercial rate for inpatient and outpatient services. It specifically targets acute care hospitals that treat at least 25% of their patients through Medicaid and serve communities facing health disparities due to race, ethnicity, or socioeconomic status. If an insurer pays these hospitals less than the statewide average, their commercial insurance rates will be automatically rejected by the state insurance commissioner unless they provide proof of higher payments. The law applies to all commercial health plans starting January 1, 2023, aiming to ensure these hospitals receive fair reimbursement to maintain access to care.
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 9, 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 Health Care Financing
lower
1 primary · 18 co-sponsors

Sponsors