The bill aims to establish rate equity for community health centers by amending various chapters of the General Laws. It introduces a new section in Chapter 32A, which mandates that the Commission ensure reimbursement rates for Federally Qualified Health Center (FQHC) services are at least equivalent to what would be received under MassHealth, following specific federal methodologies as of January 1, 2025. Similar provisions are added to Chapters 118E, 175, 176A, 176B, 176E, 176G, and 176I, requiring insurers and health maintenance organizations to adhere to these reimbursement standards for services provided by community health centers.

Additionally, the bill includes definitions for Federally Qualified Health Centers and their services, ensuring clarity in the application of these provisions. It also requires the Division of Insurance to issue regulations for compliance and mandates annual reporting from entities providing reimbursement to FQHCs, demonstrating that their payments align with the established revenue standards. Overall, the bill seeks to enhance financial stability for community health centers by ensuring they receive fair compensation for the services they provide.

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