Massachusetts H4954 aims to increase enrollment in affordable health plan networks by modifying network plan rules.

Massachusetts H4954 amends Section 9A of chapter 176O to limit how carriers can introduce or modify select or tiered network plans. It mandates that all members of a provider group must be placed in the same tier or included in a select network plan on an all-or-nothing basis. The commissioner can exempt carriers from these rules based on membership enrollment in a single rate region, subsidized coverage, or income from government programs.

Massachusetts H4954 aims to increase enrollment in affordable health plan networks by modifying network plan rules.

Massachusetts H4954 amends Section 9A of chapter 176O to limit how carriers can introduce or modify select or tiered network plans. It mandates that all members of a provider group must be placed in the same tier or included in a select network plan on an all-or-nothing basis. The commissioner can exempt carriers from these rules based on membership enrollment in a single rate region, subsidized coverage, or income from government programs.