Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H4618

Introduced
10/20/25  

Caption

To promote increased access to patient care through equitable reimbursement

Impact

If passed, H4618 will significantly alter how reimbursement rates are structured in Massachusetts, promoting a more equitable system for healthcare providers. By eliminating distinctions in reimbursement based on professional title, the bill encourages the utilization of CRNAs, potentially increasing access to anesthesia services and improving the overall efficiency of healthcare delivery. This change is expected to impact both private and public health insurance policies by aligning their reimbursement practices with the new standards set forth by the bill.

Summary

House Bill 4618 aims to improve access to patient care in Massachusetts by ensuring equitable reimbursement rates for services provided by certified registered nurse anesthetists (CRNAs) and physicians. The bill amends several chapters of the General Laws, ensuring that when CRNAs work within their licensed scope, they receive reimbursement that is equal to what a physician would receive for the same service. This is intended to streamline patient care by allowing CRNAs to perform more roles without facing discrimination in reimbursements based on their professional title compared to physicians.

Contention

Despite the bill's intent to promote equity among healthcare providers, it may face challenges, particularly from physician advocacy groups that argue it undermines the traditional roles and authority of physicians in anesthesia services. The provisions in H4618 that disallow reductions in physician reimbursement to equalize pay for CRNAs could lead to debates regarding the quality of care and the value of medical oversight in anesthesia services, raising questions about patient safety and the qualifications necessary to perform such roles.

Companion Bills

MA H1142

Replaces To promote increased access to patient care through equitable reimbursement

Previously Filed As

MA H1142

To promote increased access to patient care through equitable reimbursement

MA S783

To promote increased access to patient care through equitable reimbursement

MA S2938

To promote increased access to patient care through equitable reimbursement

MA H2448

Promoting patient safety and equitable access to care

MA S1522

Promoting patient safety and equitable access to care

MA H2694

To promote equitable access to parole

MA S2889

"The Desegregate New Jersey Act"; promotes equitable residential development throughout State.

MA S2928

"The Preserving Affordable Main Streets Act"; promotes equitable residential development throughout State.

MA H1705

Relative to patient care access

MA H4162

To increase access to healthcare for ostomy patients

Similar Bills

MA S783

To promote increased access to patient care through equitable reimbursement

MA S2938

To promote increased access to patient care through equitable reimbursement

MA H1142

To promote increased access to patient care through equitable reimbursement

CA AB876

Nurse anesthetists: scope of practice.

AZ SB1372

Hospital; nurse anesthetist; subscription contract

AZ HB2447

Insurance; reimbursement rates; nurse anesthetist

HI HB1857

Relating To Health Care.

HI SB2491

Relating To Health Care.