The proposed bill amends various chapters of the General Laws related to health insurance by introducing a new section titled "Single site parity." This new provision mandates that any health insurance contract, plan, or policy delivered or renewed in the state must provide equal reimbursement to independent healthcare facilities as is provided to hospital-affiliated facilities for identical healthcare services. This requirement is subject to applicable federal law. Additionally, the health insurance commissioner is tasked with promulgating necessary rules and regulations for the efficient administration and enforcement of this section.
The bill applies to multiple chapters, including those governing Accident and Sickness Insurance Policies, Nonprofit Hospital Service Corporations, Nonprofit Medical Service Corporations, and Health Maintenance Organizations. The act is set to take effect on January 1, 2026, ensuring that independent healthcare facilities receive equitable reimbursement, thereby promoting fairness in the healthcare reimbursement landscape.