An Act relative to health care non-discrimination

SD 530 (An Act relative to health care non-discrimination) requires health insurance carriers to design payment models (like capitation or global budgets) that fairly account for patient needs, such as age, health conditions, and social factors, rather than using historical costs tied to specific providers. It prohibits carriers from basing payments on provider prices or past spending from subsets of their network. Carriers must report payment model details to the Center for Health Information and Analysis for compliance checks, and violations will be treated as unfair business practices under Chapter 93A. The bill directly affects health insurance companies and healthcare providers participating in these payment arrangements.