SD 1130 Massachusetts Senate · 193rd Legislature (2023-2024)

An Act relative to out-of-network billing

This bill establishes a new system in Massachusetts to set standard payment rates for health care services provided by doctors who are not part of an insurance company's network. It requires the state to create specific rates for both emergency and nonemergency care by analyzing existing contracts and considering factors like patient access and total healthcare costs. Insurance companies must then use these state-determined rates to bill out-of-network providers, and the bill mandates that these protections be clearly explained to consumers on their payment summaries.
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