An Act relative to consumer deductibles

This bill amends Massachusetts insurance laws to clarify how health insurers must calculate an enrollee's out-of-pocket spending toward deductibles and annual cost-sharing limits. It requires insurers to count any payments made by the enrollee or on their behalf, such as those from family members or employers, when determining these financial thresholds. The legislation also mandates that any cost-sharing reductions be applied immediately to lower the enrollee's total out-of-pocket expenses. These rules will apply to health plans entered into, amended, extended, or renewed on or after January 1, 2024.