An Act to redirect excessive health insurer reserves to support health care safety net programs

This bill requires health insurers with reserves exceeding 550% of risk-based capital to pay an assessment generating $400 million total. The funds are split equally: $200 million goes to the Health Safety Net Trust Fund (supporting community health programs) and $200 million to the Medicaid Stabilization Trust Fund (preventing access cuts for MassHealth beneficiaries). The assessment applies to insurers meeting specific reserve thresholds set by the Division of Insurance, with enforcement mechanisms including interest charges for late payments. The program expires on December 31, 2026.