This bill amends several chapters of the General Laws to ensure that reimbursement for medically appropriate evaluation and management services in outpatient settings is included in the basic benefits package offered by insurers or third parties. Specifically, it introduces new sections in Chapters 32A, 32B, 175, 176A, 176B, and 176G, which stipulate that these services will not require a deductible. However, it also includes a provision that allows for deductibles if the applicable plan is governed by the Federal Internal Revenue Code and would lose its tax-exempt status due to the prohibition on deductibles for these services.

The bill aims to enhance access to healthcare by eliminating upfront costs for patients seeking outpatient evaluation and management services, thereby promoting timely medical care. By establishing clear guidelines developed by the division of insurance, the legislation seeks to standardize the reimbursement process across various types of insurance policies, ensuring that individuals have access to necessary medical evaluations without the burden of deductibles, except in specific circumstances related to federal tax regulations.