H 4954 Massachusetts House · 194th Legislature (2025-2026)

An Act to increase enrollment in affordable health plan networks

This bill modifies Massachusetts health insurance regulations to make it easier for certain insurers to operate. It allows health insurance carriers to be exempt from specific network rules if they primarily serve members in single-rate regions, subsidized plans (like MassHealth), or rely heavily on government program income. Additionally, it requires insurers to include entire provider groups (not just parts of them) in network plans, either fully or not at all, and prevents restricting provider participation in tiered networks. These changes directly affect health insurance carriers operating in Massachusetts, aiming to simplify network requirements for some plans while expanding provider access. The bill focuses on procedural adjustments to existing coverage frameworks, not creating new subsidies or benefits.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 28, 2026 Last action Jul 9, 2026
Floor votes

How they voted

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Full legislative history

Actions timeline

Total actions
4
Key actions
2
Committee
2
Jan 28, 2026
Lower · Passed
Reported favorably by committee and referred to the committee on Health Care Financing
lower
Jan 28, 2026
Lower · Passed
Reported from the committee on Financial Services
lower
0 primary · 1 co-sponsor

Sponsors

No sponsor information available.