H 5022 Massachusetts House · 194th Legislature (2025-2026)

An Act relative to direct primary care

H 5022 prohibits health insurance companies from denying payment for covered services solely because a patient received a referral from a doctor outside the insurance network. This affects patients seeking care from non-network providers and requires insurers to cover services under the same terms as network referrals. The bill amends multiple sections of Massachusetts health insurance laws (including Chapters 32A, 32B, 94C, 175, 176A, 176B, 176G, and 176I) to include this uniform rule. It takes effect one year after enactment for all new, renewed, or amended insurance contracts.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2026
Committee Review
Floor Vote
Governor
Introduced Feb 5, 2026 Last action Jul 9, 2026
Floor votes

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Full legislative history

Actions timeline

Total actions
4
Key actions
2
Committee
2
Feb 5, 2026
Lower · Passed
Reported favorably by committee and referred to the committee on Health Care Financing
lower
Feb 5, 2026
Lower · Passed
Reported from the committee on Financial Services
lower
0 primary · 19 co-sponsors

Sponsors

No sponsor information available.