H 4342
An Act assuring prompt access to health care
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- Passed Senate
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Bill overview
This bill amends several chapters of the Massachusetts General Laws to ensure that medically appropriate evaluation and management services provided in outpatient settings, such as offices and clinics, are included as part of a basic benefits package offered by insurers. It prohibits deductibles for these services unless the plan is governed by the Federal Internal Revenue Code and would lose its tax-exempt status if deductibles were required.
Key provisions
- Requires basic benefits packages to include reimbursement for outpatient evaluation and management services.
- Prohibits deductibles for these services unless the plan would lose tax-exempt status.
- Applies to various insurance types, including blanket policies, accident and sickness insurance, and employers’ health and welfare funds.
- Specifies that the division of insurance will develop guidelines for medically appropriate services.
- Amends Chapter 32A, 32B, 175, 176A, 176B, and 176G of the General Laws.
- Addresses potential impacts on tax-exempt status of health plans.
- Includes a provision regarding deductibles based on Federal Internal Revenue Code regulations.
- Establishes a mechanism for insurers to offer these services as part of a basic benefits package.
Who is affected
- Health insurers
- Patients receiving outpatient medical care
- Healthcare providers (offices and clinics)
- Employers offering health insurance plans
Sponsors
Official sponsors from legislative records.
Primary sponsor
Joint Committee on Financial Services
Cosponsors
Lindsay N. Sabadosa
Tram T. Nguyen
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Bill H.4342 194th (Current)
An Act assuring prompt access to health care
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Bill Information
Bill Information
Sponsor: Joint Committee on Financial Services Status: Referred to Joint Committee on Health Care Financing
Tabs
Bill History Cosponsors Committee Vote Committee Summary
Bill History
Displaying 5 actions for Bill H.4342
| Date | Branch | Action |
| 7/31/2025 | House | Reported from the committee on Financial Services |
| 7/31/2025 | House | New draft of H1309 |
| 7/31/2025 | House | Reported favorably by committee and referred to the committee on Health Care Financing |
| 12/8/2025 | House | Reporting date extended to Wednesday, March 18, 2026 |
| 3/19/2026 | House | Reporting date extended to Monday, June 15, 2026 |
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