HD 1776 Massachusetts House · 194th Legislature (2025-2026)

An Act relative to direct primary care

This bill prohibits health insurance carriers from denying payment for covered services solely because a patient was referred by a provider outside the carrier's network. It directly affects insurance companies (carriers) and their enrollees (patients), ensuring referrals from out-of-network doctors don't lead to denied claims. The key provision appears repeatedly across multiple chapters of health insurance law, mandating that payment decisions cannot be based on the referral source alone. The bill does not change coverage for specific treatments or alter prescription rules, focusing solely on referral-based payment denials. It applies to all health plans governed by the referenced statutes.
Bill status Introduction 0 of 4 stages cleared
Introduction
Committee Review
Floor Vote
Governor