HD 1115 Massachusetts House · 194th Legislature (2025-2026)

An Act to address health care costs through the cost benchmark and rate review processes

This bill requires health care entities (like hospitals, insurers, and clinics) that exceed state-set cost growth targets to submit and implement a "performance improvement plan." Entities failing to file plans, implement them properly, or falsifying data face escalating fines - up to $750,000 for repeated violations - with penalties deposited into a dedicated Healthcare Payment Reform Fund. The law mandates ongoing data analysis to identify high-cost providers and grants the health policy commission authority to enforce compliance through penalties or delayed rate approvals. It directly targets cost control for large health care organizations, aiming to align spending with state benchmarks.
Bill status Introduction 0 of 4 stages cleared
Introduction
Committee Review
Floor Vote
Governor