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
How they voted
No floor votes recorded yet.
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.
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