An Act relative to rate equity for community health centers
Take action
Record your position on this measure.
Create an account to record your position, submit testimony, or contact your legislator.
Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Overview
This bill aims to ensure that community health centers receive fair reimbursement rates for their services. It mandates that insurers and other payers in Massachusetts reimburse community health centers at a level equivalent to what they would receive if reimbursed by MassHealth, using a methodology aligned with federal standards. The bill also establishes a process for the Division of Insurance to oversee these payments and ensure compliance, including providing prospective payment system rate information to health plans.
Key provisions
- Requires insurers to reimburse community health centers at a rate equivalent to MassHealth reimbursement methodology.
- Defines key terms such as ‘Federally Qualified Health Center’ and ‘Federally Qualified Health Center Services’ for clarity.
- Directs the Division of Insurance to issue regulations governing payment methodologies to community health centers.
- Establishes a process for MassHealth to provide prospective payment system rate information to health plans.
- Requires licensed reimbursement entities to submit annual reports demonstrating equivalent reimbursement levels.
- Applies to various types of insurers, including health maintenance organizations and preferred provider organizations.
- Addresses student health insurance programs and plans.
- Specifies a compliance deadline for the Division of Insurance to promulgate regulations.
Who is affected
Bill text
Read the latest version inline or switch to a previous version.
Text extraction is in progress. View the official source.
Sponsors
Official sponsors from legislative records.
24 on record
Primary sponsor
Joint Committee on Financial Services
Cosponsors
Christopher Richard Flanagan
David T. Vieira
Arguments
Reasons offered for and against this legislation.
Arguments in favor
No arguments in favor have been submitted.
Submit yoursArguments opposed
No arguments opposed have been submitted.
Submit yours