S2270 - Reduces Health Care Spending - Key Vote
Massachusetts Key Votes
- June 14, 2012 Senate Nonconcurrence Vote Passed
- June 5, 2012 House Bill Passed
- May 17, 2012 Senate Bill Passed
- Feb. 22, 2011 Introduced
Legislation - Nonconcurrence Vote Passed (Senate) - June 14, 2012
Legislation - Bill Passed (House) (148-7) - June 5, 2012 (Key vote)
Title: Reduces Health Care Spending
Vote to pass a bill that reduces state health care spending.
- Requires the State Attorney General to take action to prevent anti-competitive practices in the market, prevent “unreasonable” increases in health rates and prices, and prevent “adverse effects” on patient access and quality (Sec. 11).
- Establishes the Institute of Health Care Finance and Policy to monitor trends in health care costs and review providers suspected of engaging in anticompetitive behavior (Sec. 15).
- Requires the Secretary of Administration and Finance to meet with the House and Senate Committees on Ways and Means and jointly develop a projected economic growth benchmark, which will be reported on September 15th each year (Sec. 18).
- Establishes the Massachusetts e-Health Institute to implement a statewide system of electronic health records (Sec. 29).
- Requires that every 4 years the Department of Health, in consultation with the Institute of Health Care Finance and Policy, submit a health resource plan that identifies the healthcare needs of the state and the resources required to meet them (Sec. 50).
- Requires healthcare providers to disclose, upon patient request, the following (Sec. 83):
- The allowed charge for a proposed admission, procedure, or service including facility fees within 2 working days; or
- If unable to quote a specific amount to to disclose the estimated maximum allowed charge within 2 working days.
- Authorizes the Commissioner to impose a fine of up to $1000 on any health care provider in violation of the requirement to disclose the maximum allowed charge to the patient or prospective patient (Sec. 83).
- Requires the Secretary of the Executive Office to establish “fair and adequate” charges to be used by state institutions for general health supplies, care, accommodations, and rehabilitative services (Sec. 97).
- Establishes a Health Safety Net Office within the office of Medicaid to set reimbursement rates to community health centers/acute hospitals that provide healthcare services to low-income, uninsured/underinsured patients (Sec. 104).
- Establishes a personal care attendant quality home workforce council to assist consumers with finding personal care attendants (Sec. 104).
- Requires insurance carriers to disclose limitations of coverage relating to preexisting conditions (Sec. 137).
- Requires insurance carriers to establish a toll-free number and website that enables consumers to obtain information about the amount that the insured will be responsible to pay for a proposed admission, procedure, or service that is a medically necessary covered benefit including (Sec. 137):
- Any facility fee;
- Other out-of-pocket amount; and
- The actual or maximum estimated allowed amount and co-insurance for any covered health benefits.
- Establishes a small group wellness incentive program that will provide technical assistance and an annual subsidy to eligible small groups that implement evidence-based employee health and wellness programs (Sec. 160).
- Establishes the Health Care Quality and Finance Authority to set health care cost containment goals and implement health care delivery and payment models that will lower cost growth (Sec. 162).
- Requires the advisory board to the Health Care Quality and Finance Authority to establish a health care cost growth benchmark for statewide average growth no later than April 15 of each year (Sec. 162).
- Requires the Health Care Quality and Finance Authority to establish procedures for a “Beacon ACO” certification process (Sec. 162).
- Defines “Beacon ACO” as a certification given by the board of the Health Care Quality and Finance Authority to indicate that a provider organization meets certain standards regarding quality, cost containment, and patient protection (Sec. 162).
- Requires the Health Care Quality and Finance Authority to develop standards for alternative payment methods for use by the group insurance commission, Medicaid, and all other state-funded insurance programs (Sec. 162).
- Establishes the Distressed Community Hospital Trust Fund to improve ability of “qualified” community hospitals to serve populations in need more “effectively” (Sec. 173).
- Requires the Department of Health to create a model wellness guide for payers, employers, and consumers (Sec. 175).
- Requires the Department of Health to submit a health resource plan to the Governor and General Court no later than January 1, 2014 (Sec. 183).
- Requires the group insurance commission, MassHealth, and all other state-funded insurance programs to implement alternative payment methods no later than July 1, 2014 (Sec. 186).
- Establishes a commission to review price variation among health care providers (Sec. 190).
Legislation - Bill Passed (Senate) (35-2) - May 17, 2012
Legislation - Introduced (House) - Feb. 22, 2011
Title: Reduces Health Care Spending