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Legislative Update: Anti-Clawback Amendment Approved by the Massachusetts Senate

Wednesday, November 15, 2017   (0 Comments)
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Legislative Update: You Made a Difference! Anti-Clawback Amendment Approved by the Massachusetts Senate

November 14, 2017


Dear MPA Members,

Last week we asked you to contact your State Senator to ask them to support two amendments that MPA strongly supports. We are pleased to report that the Anti-Clawback amendment was approved by the Senate as a part of their bill, which was also approved: An Act furthering health empowerment and affordability by leveraging transformative health care.

The consumer transparency for provider networks amendment was altered and ultimately approved, but rather than putting the reforms of that amendment in place, it creates, "a task force to investigate timely updating of provider directories by health insurance carriers and determine ways to ensure that the general public is able to view all of the current health care providers for a health insurance plan," which shall submit recommendations to the Committee on Health Care Finance by May 2018.

The Massachusetts House of Representatives has not yet considered this Senate health care bill. We will update you if there is another opportunity to advance these amendments in the House. Thank you very much for your support which made this a successful advocacy campaign! Please inform your colleagues about this positive development and ask them to join MPA to help us build on this momentum. Here is a refresher on the details of the anti-clawback amendment.

Amendment 143, Limiting retroactive clawbacks of health insurance claims for mental health and substance abuse services - This amendment would place a 6-month limit on health plan clawbacks. Currently there is no time limit and health plans can retroactively deny payments made in good faith, even many years later. You can read our legislative update on the anti-clawback bill on our website, including the written testimony provided by Director of Professional Affairs, Dr. Jennifer Warkentin, on behalf of MPA.

Thanks again for your support of MPA and this advocacy campaign.


Brian Doherty
Executive Director

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