H 4618 Massachusetts House · 194th Legislature (2025-2026)

An Act to promote increased access to patient care through equitable reimbursement

H 4618 requires health insurers and government health plans to reimburse certified registered nurse anesthetists (CRNAs) at the same rate as physicians for comparable services, eliminating reimbursement disparities. It applies to Commonwealth employee health plans, Medicaid managed care, and private insurance policies covering hospital/surgical care. The bill mandates that claims must include the provider's National Provider Identifier and explicitly prohibits reducing physician payments to fund CRNA reimbursements. Key provisions ensure CRNAs and physicians receive identical payment rates when acting within their licensed scope, while allowing equal quality-based reimbursement adjustments for both groups.
Bill status in committee 1 of 4 stages cleared
Introduction
Oct 2025
Committee Review
Floor Vote
Governor
Introduced Oct 20, 2025 Last action Aug 4, 2026
Floor votes

How they voted

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Full legislative history

Actions timeline

Total actions
7
Key actions
2
Committee
3
Aug 4, 2026
Committee
Committee recommended bill ought to pass and referred to the committee on House Ways and Means
lower
Oct 20, 2025
Lower · Passed
Reported favorably by committee and referred to the committee on Health Care Financing
lower
Oct 20, 2025
Lower · Passed
Reported from the committee on Financial Services
lower
0 primary · 1 co-sponsor

Sponsors

No sponsor information available.