An Act to ensure access and continuity of care to specialist and hospital services for dually eligible individuals

This bill aims to improve healthcare access for dually eligible individuals in Massachusetts who qualify for both Medicare and MassHealth. It allows these patients to receive care from any specialist or hospital in the state that participates in Medicare or MassHealth, regardless of their specific health plan's network restrictions. Additionally, the law requires health plans to maintain existing contracts with providers for twelve months after termination to ensure patients can continue seeing their primary care doctors and specialists without interruption. If a provider is not already under contract with a patient's plan, the bill mandates that the plan pay the provider at standard Medicare or MassHealth rates for those services.