S 699 Massachusetts Senate · 193rd Legislature (2023-2024)

An Act relative to fair and equitable compensation for medical services

This bill amends Massachusetts law to prevent insurance companies from lowering payment rates for specific medical services like evaluations or procedures if a doctor also performs other minor surgeries on the same day. It directly affects participating healthcare providers by making it illegal for insurers to reduce reimbursement based solely on the combination of services provided in a single visit. The legislation also clarifies that any existing contract clauses allowing such reductions are considered invalid. Additionally, it limits the role of certain administrative review organizations to simply recommending coverage authorization rather than handling the actual payment obligations.
Bill status passed 3 of 4 stages cleared
Introduction
Feb 2023
Committee Review
Mar 2024
House Passage
Feb 2023
Governor
Introduced Feb 16, 2023 Last action Apr 18, 2024
Floor votes

How they voted

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

Actions timeline

Total actions
5
Key actions
2
Committee
2
Mar 11, 2024
Upper · Passed
Bill reported favorably by committee and referred to the committee on Health Care Financing
upper
Feb 16, 2023
Lower · Passed
House concurred
lower
Feb 16, 2023
Committee
Referred to the committee on Financial Services
upper
1 primary · 2 co-sponsors

Sponsors