Maddy summaryThis bill amends Massachusetts state law to prohibit insurance companies from discriminating against hospitals and pharmacies that participate in the federal 340B drug discount program. It specifically forbids insurers from charging these entities lower reimbursement rates, imposing unique fees or audit requirements, or restricting their network participation solely because they dispense discounted drugs. The legislation aims to ensure that 340B-covered entities are treated the same as other pharmacies regarding insurance claims, fees, and contractual terms. By banning these specific practices, the bill seeks to protect the financial stability of safety-net providers that rely on these federal discounts to offer affordable care.
Sen. Vanna Howard
Sponsored bills
Maddy summaryThis bill requires public employers in Massachusetts to provide full-time firefighter employees with free cancer screenings every three years, starting at least three years after they begin working. The screenings must cover a specific list of cancers including lung, colon, and prostate cancer, and the employer's health plan must pay for all costs without requiring any co-pays or deductibles from the firefighters. The law applies to firefighters working for state agencies, cities, towns, and various military and port authority fire departments.
Maddy summaryThis bill requires that community health centers in Massachusetts be reimbursed using a specific payment method known as a prospective payment system. The law mandates that this reimbursement approach aligns with federal guidelines established in the United States Code as of January 1, 2023. By updating state statutes, the bill ensures that insurers and other payers follow this standardized calculation for services provided by these federally qualified health centers. The change directly affects how these healthcare facilities are paid for patient care and aims to create consistency between state and federal payment rules.
By Representatives Gentile of Sudbury and Kane of Shrewsbury, a petition (accompanied by bill, House, No. 2182) of Carmine Lawrence Gentile, Hannah Kane and others for legislation to reduce incidence and death from pancreatic cancer. Public Health.
Maddy summaryThis bill amends state law to require health insurers to pay ambulance providers directly when treating insured individuals who are not under contract with that specific insurer. The legislation mandates that insurers must make these payments promptly, even if the insurance policy typically prohibits assigning benefits, provided the patient signs an assignment form or is unable to do so. It also clarifies that payment made to the patient instead of the ambulance company does not count as reimbursement, and it grants ambulance providers the legal right to sue insurers who fail to pay directly. These changes directly affect ambulance service providers, insurance companies, and patients seeking emergency care in Massachusetts.
Maddy summaryThis bill prohibits insurance companies and other payers from discriminating against healthcare facilities that participate in the federal 340B drug discount program. It requires payers to reimburse these facilities and their contract pharmacies at the same rate they would pay any other pharmacy, preventing lower payments, extra fees, or different audit requirements based on the facility's status. The legislation also bans payers from imposing conditions that steer patients away from receiving discounted drugs at these facilities. By amending state laws, the bill aims to ensure that organizations serving vulnerable populations can maintain access to affordable medications without facing financial penalties or administrative barriers.
Maddy summaryThis bill prohibits hospitals and certain correctional facilities in Massachusetts from requiring staff to work mandatory overtime, directly affecting registered nurses, support workers, and other healthcare personnel. It defines mandatory overtime as hours worked beyond a pre-agreed schedule of no more than 12 hours in a day and allows such requirements only during genuine emergencies where patient safety is at risk and no other options exist. Facilities must make a good faith effort to fill these gaps voluntarily before mandating overtime, report all instances to state agencies, and ensure staff do not work more than 16 consecutive hours with a required 8-hour break afterward. The law also clarifies that refusing to work beyond these limits cannot result in discrimination or dismissal.
Maddy summaryThis bill requires public employers in Massachusetts to cover cancer screenings for full-time paid firefighters without charging them any out-of-pocket costs. The screenings must occur at least every three years starting three years after the firefighter begins employment and include tests for various types of cancer such as lung, colon, and prostate cancer. The law applies to firefighters working for state agencies, cities, towns, and specific military and port authority fire departments, ensuring these workers receive regular health checks funded entirely by their employer's health plan.
Maddy summaryThis bill creates a financial incentive program to encourage more MassHealth dental providers to treat patients in specific underserved areas of Massachusetts. It directs the state to offer supplemental payments of $31 per patient visit to licensed dentists and hygienists who treat at least ten additional MassHealth beneficiaries in a year compared to the previous year. These payments are restricted to providers operating in twenty designated municipalities identified as having high enrollment and low dental service usage. The legislation requires the Department of Health and Human Services to establish rules defining eligible locations and to review the payment rate annually.
Maddy summaryThis bill requires that community health centers in Massachusetts receive reimbursement for patient services using a specific payment method known as a prospective payment system. The legislation mandates that this payment methodology must align with federal standards established in the United States Code as of January 1, 2023. By amending state laws regarding insurance and health care financing, the bill ensures that both public programs and private insurers reimburse these centers in a standardized way. The primary goal is to create consistency in how these health centers are paid for the care they provide.