Massachusetts legislation · 194th General Court
Massachusetts H4338: An Act to reduce inequities in access to medical procedures
Status: In committee, August 4, 2026
What the bill says
From the introduced text, July 31, 2025:
Section 16 of chapter 176O of the General Laws, as appearing in the 2022 Official Edition, is hereby amended by striking out subsection (c) and inserting in place thereof the following subsections: (c) Carriers are prohibited from reducing the payment of a negotiated rate for evaluation and management or procedural services under a participating provider agreement that are furnished by a participating provider and that are otherwise covered services solely because the provider also billed other health care services, including but not limited to minor surgery, on the same day as the evaluation and management or procedural services. Any provision of a provider agreement that allows for a reduction in reimbursement as prohibited by this subsection shall be void. (d) With respect to an insured enrolled in a health benefit plan under which the carrier or utilization review organization only provides administrative services, the obligations of a carrier or utilization review organization created by this section and related to payment shall be limited to recommending to the third party payor that coverage should be authorized.
Sponsors
- Services, Joint Committee on Financial (I) · primary sponsor
- William Galvin (D, 6th Norfolk)
Latest actions
- : Committee recommended bill ought to pass and referred to the committee on House Ways and Means
- : Reporting date extended to Friday, July 31, 2026
- : Reporting date extended to Monday, June 15, 2026
- : Reporting date extended to Wednesday, March 18, 2026
- : Reported favorably by committee and referred to the committee on Health Care Financing
- : New draft of H1162
- : Reported from the committee on Financial Services
Votes
- Committee Vote - Joint Committee on Health Care Financing (July 16, 2026): 13 yea, 0 nay, passed
- Committee Vote - Joint Committee on Financial Services (July 25, 2025): 11 yea, 0 nay, passed
Common questions
- What is H4338?
- H4338 is a bill in the Massachusetts Legislature (194th General Court): An Act to reduce inequities in access to medical procedures.
- What is the status of H4338?
- In committee as of August 4, 2026. Latest action: Committee recommended bill ought to pass and referred to the committee on House Ways and Means (August 4, 2026).
- Who sponsored H4338?
- Services, Joint Committee on Financial (I), with 1 co-sponsor.
- Where is the official record for H4338?
- On the Massachusetts Legislature website: https://malegislature.gov/Bills/194/H4338
Source: official Massachusetts record. Tracked by Delilah, AI for legislation across all 50 states and Congress.