Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H1120

Introduced
2/27/25  

Caption

Relative to patient access to primary care services

Impact

The introduction of HB 1120 has the potential to alter the state's healthcare landscape by promoting direct interactions between patients and their primary care providers. It seeks to increase consumer choice and could lead to lower healthcare costs for individuals, as they pay providers directly without going through third-party insurance. Additionally, by establishing a legal framework for direct primary care, the bill aims to clarify the nature of such agreements and ensure transparency for patients regarding their healthcare options.

Summary

House Bill 1120, titled 'An Act Relative to Patient Access to Primary Care Services,' introduces a framework for direct primary care in Massachusetts. The bill allows individuals to enter into direct primary care membership agreements with healthcare providers. Under these agreements, the provider supplies agreed-upon primary care services for a periodic fee, distinct from traditional fee-for-service arrangements that bill insurance companies. This model aims to streamline patient access to primary care by reducing complexities associated with health insurance billing.

Conclusion

Overall, House Bill 1120 represents a significant shift towards alternative healthcare service models in Massachusetts, with the potential for both positive impacts on patient access to care and concerns regarding the equity of healthcare access. The ongoing discussions around the bill will likely explore its long-term effects on both patients and providers alike.

Contention

While proponents, including healthcare providers and some legislators, argue that this bill enhances patient freedom and access to necessary services, there are concerns regarding its implications. Critics may highlight that this model could lead to less comprehensive coverage for individuals who cannot afford the periodic fees, effectively creating a tiered system of healthcare access. Opponents of the bill may also worry that it could undermine existing health insurance frameworks or reduce the incentive for traditional insurance providers to evolve their offerings.

Companion Bills

MA H5066

Replaced by Health insurance contracting matters

Previously Filed As

MA H2537

Relative to primary care access

MA H2477

Relative to patient access to certain health care services

MA S1544

Relative to patient access to certain health care services

MA H2378

To increase patient access to certain health care services

MA H1170

Relative to access to care for Ehler Danlos syndrome patients

MA H1705

Relative to patient care access

MA S898

Relative to patient centered access to behavioral health services in accountable care organizations

MA H1241

Relative to fair access for qualifying patients

MA HB1096

Colorado Medicaid Access to Primary Care Services

MA H1343

Relative to direct primary care

Similar Bills

No similar bills found.