Legislative Fact Sheets

Antitrust Fact Sheet: 2017-2018 Legislative Session

Senate Bill 614, An Act to promote the accessibility, quality and continuity of care for consumers of behavioral health, substance use disorder and mental health services was filed by the late Sen. Ken Donnelly. This bill addresses access challenges by creating state action immunity for providers who choose to engage in joint negotiations with insurance providers on issues such as reimbursement rates and medical necessity criteria.

Click here to read more about the antitrust bill!

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New Legislative Session

The new legislative session got underway in January. We will be updating this page with revised fact sheets with updated bill numbers once they become available.

The Clawback Bill

This bill establishes fair parameters around the health insurance practice of reverting payments (clawbacks) for which providers of behavioral health services had received previous authorization and been paid by health insurers.

Our Legislation will: Limit both MassHealth and commercial health insurers to a six-month period for recovering payments to a behavioral health provider for behavioral health services completed.

Click here for more information on the Clawback Bill (H2193).

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