An Act increasing access to acute hospital at home services

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Bill H.1141

SECTION X. Chapter 32A of the General Laws, as appearing in the 2022 official edition, is hereby amended by inserting at the end thereof the following:

Section XX. The commission shall provide to any active or retired employee of the commonwealth who is insured under the group insurance commission coverage and reimbursement on par with in-person services for the cost of hospital at home services provided by an acute care hospital participating in the Centers for Medicare and Medicaid Services Acute Hospital Care at Home Program.

SECTION XX. Chapter 175 of the General Laws, as appearing in the 2022 official edition, is hereby amended by inserting at the end thereof the following:

Section XX. An individual policy of accident and sickness insurance issued under section 108 that provides hospital expense and surgical expense insurance and any group blanket or general policy of accident and sickness insurance issued under section 110 that provides hospital expense and surgical expense insurance, which is issued or renewed within or without the commonwealth, shall provide coverage and reimbursement on par with in-person services for the cost of hospital at home services provided by an acute care hospital participating in the Centers for Medicare and Medicaid Services Acute Hospital Care at Home Program.

SECTION XXX. Chapter 176A of the General Laws, as appearing in the 2022 official edition, is hereby amended by inserting at the end thereof the following:

Section XX.

A contract between a subscriber and the corporation under an individual or group hospital service plan which provides hospital expense and surgical expense insurance, except contracts providing supplemental coverage to Medicare or other governmental programs, delivered, issued or renewed by agreement between the insurer and the policyholder, within or without the commonwealth, shall provide coverage and reimbursement on par with in-person services for the cost of hospital at home services provided by an acute care hospital participating in the Centers for Medicare and Medicaid Services Acute Hospital Care at Home Program.

SECTION XXXX. Chapter 176B of the General Laws, as appearing in the 2022 official edition, is hereby amended by inserting at the end thereof the following:

Section XX. Any subscription certificate under an individual or group medical service agreement, except certificates which provide supplemental coverage to medicare or other governmental programs, which is delivered, issued for delivery or renewed in the commonwealth, shall provide coverage and reimbursement on par with in-person services for the cost of hospital at home services provided by an acute care hospital participating in the Centers for Medicare and Medicaid Services Acute Hospital Care at Home Program.

SECTION XXXXX. Chapter 176G of the General Laws, as appearing in the 2022 official edition, is hereby amended by inserting at the end thereof the following:

Section XX. Individual and group health maintenance contracts shall provide coverage and reimbursement on par with on-person services for the cost of hospital at home services provided by an acute care hospital participating in the Centers for Medicare and Medicaid Services Acute Hospital Care at Home Program.

SECTION XXXXX. Chapter 176I of the General Laws, as appearing in the 2022 official edition, is hereby amended by inserting at the end thereof the following:

Section XX. An organization entering into a preferred provider contract shall provide coverage and reimbursement for the cost of hospital at home services provided by an acute care hospital participating in the Centers for Medicare and Medicaid Services Acute Hospital Care at Home Program.

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