MA LEG Health Care Market Review

Published on: Jan 10, 2025

On Jan. 8, MA LEG passed bill enhancing the market review process.

  • MA LEG passed bill HB 5159 in regards to enhancing the market review process.
  • Amended MA INS I-II-6A (executive orders), MA INS I-II-13 (registration), MA INS I-II-6D (Health Policy Commission), and MA INS I-XV-106 (uniform commercial code).
  • Concurrently approved SB 3012 relative to pharmaceutical access and costs, #239606.
  • Bill Provisions
  • HB 5159 seeks to close loopholes in health care market regulatory process, expands scope of data collection and public review of health care and health care transactions.
  • Prohibits DPH from issuing hospital licenses to hospitals or systems where the main acute care campus is located on Real Estate Investment Trust (REIT)-owned property.
  • Increases transparency around health care entities and ownership, data sharing requirements, participation in regulatory process to nontraditional healthcare entities.
  • Also includes provision establishing primary care task force which will study primary care access, delivery and payment, and develop recommendations to stabilize system.
  • Legislative History
  • Due to disagreeing votes of the two branches with reference to a Senate amendment of bill HB 4653 (formerly HB 4643), chambers passed accompanying bill, HB 5159.
  • On Dec. 30, 2024, bill reported to House; on Dec. 30, 2024, bill was passed by House.
  • On Dec. 30, 2024, bill passed by Senate and sent to the governor for signing into law.
  • On Jan. 8, 2025, governor signed bill into law, assigned Ch. 343 of the Acts of 2024.
  • Effectiveness
  • Section 12 to take effect on Jul. 1, 2025, and Section 87 appointments to be made by Jul. 1, 2025, task force to issue inital findings and recommendations by Sep. 15, 2025.
Regulators
MA LEG
Entity Types
Corp; Ins
Reference
Bill HB5159, Ch. 343, PR, 1/8/2025; Citation: *MA INS* I-II-6A, I-II-13, I-II-6D, I-XV-106;
Functions
Claims/Accelerated Benefits; Compliance; Financial; Legal; Operations; Registration/Licensing; Reporting
Countries
United States of America
Category
State
N/A
Products
Corporate; Insurance; Insurance-Health
Rule Type
Final
Regions
Am
Rule Date
Jan 8, 2025
Effective Date
Jul 1, 2025
Rule ID
239635
Linked to
Reg. Last Update
Jan 8, 2025
Report Section
US Insurance