The bill aims to ensure prompt access to healthcare by mandating that reimbursement for medically appropriate evaluation and management services in outpatient settings, such as office- and hospital-based clinics, be included in the basic benefits package offered by insurers or third parties. This reimbursement will not require a deductible, except in cases where 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. This provision is inserted into multiple chapters of the General Laws, including Chapters 32A, 32B, 175, 176A, 176B, and 176G.

The bill introduces new sections in these chapters, specifically Sections 35, 30, 47AAA, 8EEE, 4EEE, and 34, which outline the reimbursement requirements and conditions. The consistent theme across these sections is the emphasis on making necessary outpatient services more accessible by eliminating deductibles, while still allowing for deductibles in certain federally governed plans to maintain tax-exempt status. This legislative change is intended to enhance healthcare access and affordability for individuals seeking outpatient services.