An Act relative to protecting health insurance coverage

HD 3133 requires employers with 50+ full-time equivalent employees in Massachusetts (who do not already provide health insurance) to pay a "fair share" contribution toward uncompensated care costs for uninsured residents. The bill establishes a formula to calculate this annual per-employee payment, based on the total cost of uncompensated care provided to uninsured patients (calculated using hospital data and physician surveys) divided by the number of employees at non-contributing employers. This contribution amount adjusts yearly for medical inflation and is enforced by the Department of Unemployment Assistance. The policy directly affects large employers not offering group health insurance, aiming to redistribute costs currently borne by the state’s health safety net system.