This bill amends various chapters of the General Laws to ensure that health care carriers cannot deny payment for services covered under an enrollee's health plan solely because the referral was made by a provider outside the carrier's network. Specifically, this provision is added to Chapters 32A, 32B, 175, 176A, 176B, 176G, and 176I, establishing a consistent standard across multiple types of health insurance policies.

Additionally, the bill makes several amendments to Chapter 94C, which governs controlled substances. It removes specific language regarding the dispensing of controlled substances, allowing for more flexibility in how these substances can be prescribed and dispensed by practitioners. The changes aim to clarify the conditions under which controlled substances can be provided, ensuring they are dispensed for legitimate medical purposes while also streamlining the process for practitioners. The provisions of this bill will take effect for all relevant contracts entered into, renewed, or amended one year after its effective date.

Statutes affected:
Bill Text: 94C-9