An Act to promote increased access to patient care through equitable reimbursement
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
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
Bill text
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Sponsors
Official sponsors from legislative records.
2 on record
Primary sponsor
Joint Committee on Financial Services
Cosponsor
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