Bill
HD 5182
CHIA would measure and publicly report Massachusetts primary care spending, defining services and providers, and use the data to set spending targets.
HD 5182 is a proposed Massachusetts bill introduced on October 2, 2025 and placed on file. It implements a delivery from the Executive Office of Health and Human Services (EOHHS) referencing the Massachusetts Health Policy Commission (HPC) Primary Care Task Force (PCTF) recommendations. The core goal is to define primary care services, codes, and providers, and to establish a robust, transparent framework for measuring, reporting, and using primary care spending data to strengthen Massachusetts’ primary care system.
Designation of CHIA as the primary care spending authority. The Legislature would codify the Massachusetts Center for Health Information and Analysis (CHIA) as the agency responsible for defining, measuring, and reporting on primary care spending. CHIA would be authorized to require data reporting from payers and providers as necessary.
Transparent methodology and data specifications. CHIA would develop and publicly post a detailed methodology for measuring primary care spending, including:
CHIA would finalize data specifications and require data collection within six months of the bill’s effective date.
Annual methodology review. CHIA would establish an annual process to review and revise its methodology, with input from a Primary Care Advisory Body, other states, and experts.
Establishment of a Primary Care Technical Advisory Body. A standing advisory group would provide technical input on data specifications, measurement, and reporting. Potential members include primary care and behavioral health providers, health systems, community health centers, health plans, and government agencies (e.g., HPC, MassHealth, DPH, Division of Insurance).
Annual reporting on primary care spending. CHIA would report each year on primary care spending in Massachusetts (as a share of total statewide health expenditures), broken down by member, insurance type, age groups, payer, and managing clinician group (note on terminology: “managing clinician group” reflects CHIA/HPC reporting conventions).
Use of CHIA data to set spending targets. CHIA’s annual spending data would inform a primary care spending target, to be defined in a later PCTF deliverable (Deliverable #3). There is a possible expansion to include pharmaceutical spending in the target.
HPC integration and policy implications. HPC would incorporate primary care spending trends into its annual cost trends reports and provide policy recommendations based on CHIA data and APCD analyses.
Note: The bill’s text references truncated sections (e.g., the pharmaceutical spending consideration) and relies on forthcoming PCTF deliverables for full target definitions.
Compiled from official sources — confirm details with the bill’s official record.
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