An Act ensuring prompt access to health care
Generates a plain-language summary of the bill text and history.
| Date | Branch | Action |
|---|---|---|
| 12/4/2025 | Senate | Accompanied a study order, see S2787↗ |
| 8/28/2025 | Joint | Hearing rescheduled to 04/29/2025 from 10:00 AM-01:00 PM in A-2 and Virtual — Hearing updated to New End Time |
| 4/23/2025 | Joint | Hearing scheduled for 04/29/2025 from 10:00 AM-02:00 PM in A-2 |
| 2/27/2025 | House | House concurred |
| 2/27/2025 | Senate | Referred to the committee on Financial Services |
No additional cosponsors.
| Committee | Recommendation | Vote |
|---|---|---|
| J11 | Accompanied | — |
Chapter 32A of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by adding at the end the following new section:-
: Reimbursement of costs for medically appropriate evaluation and management services in outpatient settings, including but not limited to office-based and hospital-based clinics, in accordance with guidelines developed by the division of insurance, shall be part of a basic benefits package offered by the insurer or a third party and shall not require a co-payment or deductible; provided, however, that co-payments and deductibles shall be required if the applicable plan is governed by the Federal Internal Revenue Code and would lose its tax-exempt status as a result of the prohibition on such for these services.
Chapter 32B of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by adding at the end the following new section:-
: Reimbursement of costs for medically appropriate evaluation and management services in outpatient settings, including but not limited to office-based and hospital-based clinics, in accordance with guidelines developed by the division of insurance, shall be part of a basic benefits package offered by the insurer or a third party and shall not require a co-payment or deductible; provided, however, that co-payments and deductibles shall be required if the applicable plan is governed by the Federal Internal Revenue Code and would lose its tax-exempt status as a result of the prohibition on such for these services.
Chapter 175 of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting after Section 47KK the following section:-
Q: Reimbursement of costs for medically appropriate evaluation and management services in outpatient settings, including but not limited to office-based and hospital-based clinics, in accordance with guidelines developed by the division of insurance, shall be part of a basic benefits package offered by the insurer or a third party and shall not require a co-payment or deductible; provided, however, that co-payments and deductibles shall be required if the applicable plan is governed by the Federal Internal Revenue Code and would lose its tax-exempt status as a result of the prohibition on such for these services.
Chapter 176A of the General Laws, is hereby amended by inserting after Section 8MM the following section:-
R: Reimbursement of costs for medically appropriate evaluation and management services in outpatient settings, including but not limited to office-based- and hospital-based clinics, in accordance with guidelines developed by the division of insurance, shall be part of a basic benefits package offered by the insurer or a third party and shall not require a co-payment or deductible; provided, however, that co-payments and deductibles shall be required if the applicable plan is governed by the Federal Internal Revenue Code and would lose its tax-exempt status as a result of the prohibition on such for these services.
Chapter 176B of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting after Section 4MM the following section:-
R: Reimbursement of costs for medically appropriate evaluation and management services in outpatient settings, including but not limited to office-based and hospital-based clinics, in accordance with guidelines developed by the division of insurance, shall be part of a basic benefits package offered by the insurer or a third party and shall not require a co-payment or deductible; provided, however, that a co-payment and deductible shall be required if the applicable plan is governed by the Federal Internal Revenue Code and would lose its tax-exempt status as a result of the prohibition on such for these services.
Chapter 176G of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by adding at the end the following new section:-
: Reimbursement of costs for medically appropriate evaluation and management services in outpatient settings, including but not limited to office-based and hospital-based clinics, in accordance with guidelines developed by the division of insurance, shall be part of a basic benefits package offered by the insurer or a third party and shall not require a co-payment or deductible; provided, however, that a co-payment and deductible shall be required if the applicable plan is governed by the Federal Internal Revenue Code and would lose its tax-exempt status as a result of the prohibition on such for these services.
SECTION 1. Chapter 32A of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by adding at the end the following new section:- Section 31: Reimbursement of costs for medically appropriate evaluation and management services in outpatient settings, including but not limited to office-based and hospital-based clinics, in accordance with guidelines developed by the division of insurance, shall be part of a basic benefits package offered by the insurer or a third party and shall not require a co-payment or deductible; provided, however, that co-payments and deductibles shall be required if the applicable plan is governed by the Federal Internal Revenue Code and would lose its tax-exempt status as a result of the prohibition on such for these services. SECTION 2. Chapter 32B of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by adding at the end the following new section:- Section 30: Reimbursement of costs for medically appropriate evaluation and management services in outpatient settings, including but not limited to office-based and hospital-based clinics, in accordance with guidelines developed by the division of insurance, shall be part of a basic benefits package offered by the insurer or a third party and shall not require a co-payment or deductible; provided, however, that co-payments and deductibles shall be required if the applicable plan is governed by the Federal Internal Revenue Code and would lose its tax-exempt status as a result of the prohibition on such for these services. SECTION 3. Chapter 175 of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting after Section 47KK the following section:- Section 47QQ: Reimbursement of costs for medically appropriate evaluation and management services in outpatient settings, including but not limited to office-based and hospital-based clinics, in accordance with guidelines developed by the division of insurance, shall be part of a basic benefits package offered by the insurer or a third party and shall not require a co-payment or deductible; provided, however, that co-payments and deductibles shall be required if the applicable plan is governed by the Federal Internal Revenue Code and would lose its tax-exempt status as a result of the prohibition on such for these services. SECTION 4. Chapter 176A of the General Laws, is hereby amended by inserting after Section 8MM the following section:- Section 8RR: Reimbursement of costs for medically appropriate evaluation and management services in outpatient settings, including but not limited to office-based- and hospital-based clinics, in accordance with guidelines developed by the division of insurance, shall be part of a basic benefits package offered by the insurer or a third party and shall not require a co-payment or deductible; provided, however, that co-payments and deductibles shall be required if the applicable plan is governed by the Federal Internal Revenue Code and would lose its tax-exempt status as a result of the prohibition on such for these services. SECTION 5. Chapter 176B of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by inserting after Section 4MM the following section:- Section 4RR: Reimbursement of costs for medically appropriate evaluation and management services in outpatient settings, including but not limited to office-based and hospital-based clinics, in accordance with guidelines developed by the division of insurance, shall be part of a basic benefits package offered by the insurer or a third party and shall not require a co-payment or deductible; provided, however, that a co-payment and deductible shall be required if the applicable plan is governed by the Federal Internal Revenue Code and would lose its tax-exempt status as a result of the prohibition on such for these services. SECTION 6. Chapter 176G of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by adding at the end the following new section:- Section 34: Reimbursement of costs for medically appropriate evaluation and management services in outpatient settings, including but not limited to office-based and hospital-based clinics, in accordance with guidelines developed by the division of insurance, shall be part of a basic benefits package offered by the insurer or a third party and shall not require a co-payment or deductible; provided, however, that a co-payment and deductible shall be required if the applicable plan is governed by the Federal Internal Revenue Code and would lose its tax-exempt status as a result of the prohibition on such for these services.