H 4618
An Act to promote increased access to patient care through equitable reimbursement
Take action
Record your position on this measure.
Sign in to record your position, submit testimony, or contact your legislator.
Sign in to take action- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill aims to improve access to patient care by ensuring equitable reimbursement for healthcare providers. Specifically, it seeks to eliminate distinctions in coverage and payment between physicians and certified registered nurse anesthetists (CRNAs) who are practicing within their licensed scope. The bill also updates several existing laws to include CRNAs and standardize reimbursement practices across different insurance plans and healthcare organizations.
Key provisions
- Requires insurance plans to reimburse CRNAs at the same rate as physicians for comparable services.
- Updates several chapters of the General Laws to include CRNAs in definitions and coverage requirements.
- Mandates that healthcare providers identify the National Provider Identifier (NPI) of the provider submitting a claim.
- Specifies that CRNAs can fulfill physician authorization requirements for anesthesia services.
- Addresses reimbursement practices within Medicaid-managed care, accountable care organizations, and primary care clinician plans.
- Modifies accident and sickness insurance policies to ensure equitable reimbursement for CRNAs.
- Clarifies that varying reimbursement rates can be established based on quality or performance measures, as long as they are applied equally to both physicians and CRNAs.
- Defines ‘Certified registered nurse anesthetist’ for clarity within various sections of the law.
Who is affected
- Patients
Sponsors
Official sponsors from legislative records.
Primary sponsor
Joint Committee on Financial Services
Cosponsor
Paul J. Donato
Arguments in favor
Reasons to support this legislation.
No arguments in favor have been submitted.
Submit yoursArguments opposed
Reasons to oppose this legislation.
No arguments opposed have been submitted.
Submit yoursRead the latest version inline or switch to a previous version.
Bill H.4618 194th (Current)
An Act to promote increased access to patient care through equitable reimbursement
View Text Print Preview Download PDF
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.4618
| Date | Branch | Action |
| 10/20/2025 | House | Reported from the committee on Financial Services |
| 10/20/2025 | House | New draft of H1142 |
| 10/20/2025 | 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 |
Similar Bills
H.1142 194th (Current)
An Act to promote increased access to patient care through equitable reimbursement
S.783 194th (Current)
An Act to promote increased access to patient care through equitable reimbursement
H.1705 194th (Current)
An Act relative to patient care access
H.2371 194th (Current)
An Act removing barriers to care for physician assistants
H.1255 194th (Current)
An Act relative to reducing unnecessary delays in patient care
The information contained in this website is for general information purposes only. The General Court provides this information as a public service and while we endeavor to keep the data accurate and current to the best of our ability, we make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the website or the information contained on the website for any purpose. Any reliance you place on such information is therefore strictly at your own risk.