HOUSE DOCKET, NO. 1051 FILED ON: 1/19/2011
HOUSE . . . . . . . . . . . . . . . No. 1200
The Commonwealth of Massachusetts
_________________
PRESENTED BY:
Ronald Mariano
_______________
To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:
The undersigned legislators and/or citizens respectfully petition for the passage of the accompanying:
An Act to regulate health insurance contracts/policies..
_______________
PETITION OF:
Name: | District/Address: |
Ronald Mariano | 3rd Norfolk |
HOUSE DOCKET, NO. 1051 FILED ON: 1/19/2011
HOUSE . . . . . . . . . . . . . . . No. 1200
By Mr. Mariano of Quincy, a petition (accompanied by bill, House, No. 1200) of Ronald Mariano relative to insurance contracts between carriers and health care providers. Financial Services. |
[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE
HOUSE
, NO. 974 OF 2009-2010.]
The Commonwealth of Massachusetts
An Act to regulate health insurance contracts/policies..
Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:
SECTION 1. Section 24B of chapter 175 of the General Laws, as appearing in the 2006 Official Edition, is hereby amended by inserting after the first paragraph the following paragraph:
The commissioner shall also require health care insurers, including any self-insured sickness, health, or welfare plan under this section, to recover all payments due from patients for covered services. For purposes of this section, payments due from patients for covered services include deductibles and co-insurance, and shall further be attributed to each patient on an annual basis or for the period of the patient’s period of coverage. Said health care insurers shall include payments due from patients for covered health care services in their payments to providers; provided however, that such payment shall not be delayed based on a delay in recovering the payment due from the patient. Nothing in this section shall prohibit providers and insurers from mutually agreeing to alternative billing and payment processes when it has been determined that the patient has or can obtain secondary insurance coverage for the services provided.
SECTION 2. The commissioner of insurance shall promulgate regulations to enforce the provisions of this Act no later than 90 days after the effective date of the Act. Such regulations shall be effective for provider contracts and enrollees’ policies which are entered into, renewed, or amended on or after the regulations effective date.
