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H4955 • 2025

An Act to increase enrollment in affordable health plan networks

An Act to increase enrollment in affordable health plan networks

Active

The official status still shows this bill as active or still awaiting another formal step.

Sponsor
Financial Services (J)
Last action
2026-01-28
Official status
Referred to Joint Committee on Health Care Financing
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

An Act to increase enrollment in affordable health plan networks

An Act to increase enrollment in affordable health plan networks Status: Referred to Joint Committee on Health Care Financing

What This Bill Does

  • An Act to increase enrollment in affordable health plan networks Status: Referred to Joint Committee on Health Care Financing

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

  1. 2026-01-28 House

    Reported from the committee on Financial Services

  2. 2026-01-28 House

    New draft of H1299

  3. 2026-01-28 House

    Reported favorably by committee and referred to the committee on Health Care Financing

Official Summary Text

An Act to increase enrollment in affordable health plan networks
Status:
Referred to Joint Committee on Health Care Financing

Current Bill Text

Read the full stored bill text 
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Bill H.4955

SECTION 1. Subsection (a) of section 11 of chapter 176J of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting at the end thereof the following:-

The commissioner may also exempt carriers from complying with this section based on (i) whether the majority of a carrier’s chapter 176J membership is enrolled in a single rate region; or (ii) whether the majority of the carrier’s chapter 176J membership is enrolled in subsidized coverage offered under chapter 176Q through which such members receive state or federal subsidies; or (iii) whether the carrier receives 80 per cent or more of its income from government programs, including subsidized coverage offered under chapter 176Q through which such members receive state or federal subsidies.

SECTION 2. Section 9A of chapter 176O, as so appearing, is hereby amended by striking out subsection (a) and inserting in place thereof the following subsection:-

"(a)(i) limits the ability of the carrier to introduce or modify a select network plan or tiered network plan by granting the health care provider a guaranteed right of participation; (ii) requires the carrier to place all members of a provider group, whether local practice groups or facilities, in the same tier of a tiered network plan; or (iii) requires the carrier to include all members of a provider group, whether local practice groups or facilities, in a select network plan on an all-or-nothing basis; or"

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