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Bill

Bill

H 1357

An Act relative to insurer responsibility to the operating budgets of health care oversight entities

194th Legislature (2025-2026) Introduced by Mike Day

Bill requires Massachusetts health insurers to financially contribute to operating budgets of health care oversight regulatory entities.

Hearing scheduled for 06/02/2025 from 11:00 AM-03:00 PM in Gardner Auditorium
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Bill Summary · H 1357

Legislative bill overview

H 1357 requires health insurers operating in Massachusetts to contribute financially to the operating budgets of health care oversight entities. The bill establishes a mechanism for insurers to share responsibility for funding the regulatory and administrative infrastructure that oversees the health care system they participate in.

Why is this important

Health care oversight entities—such as regulatory boards and quality assurance organizations—currently rely on state funding and other sources to monitor insurance practices, ensure consumer protections, and maintain system integrity. This bill shifts a portion of that financial burden to insurers themselves, potentially reducing pressure on state budgets while creating direct accountability between regulators and the industry they oversee.

Potential points of contention

  • Cost pass-through concerns: Insurers may increase premiums to offset new contribution requirements, ultimately raising health care costs for consumers and employers
  • Regulatory independence questions: Requiring insurers to fund their own oversight entities raises concerns about whether regulators can maintain independence and objectivity when financially dependent on the regulated industry
  • Definitional ambiguity: The bill's scope regarding which entities qualify as "health care oversight entities" and how contributions are calculated remains unclear without legislative specifics

Compiled from official sources — confirm details with the bill’s official record.

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