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S 801

Relates to standards for electric vehicle charging stations and electric vehicle ready parking spaces in certain new buildings

2025 Regular Session Introduced by Liz Krueger

APRN determinations can satisfy physician-required coverage actions for insurer reimbursement, streamlining access while not expanding APRN licensure.

SIGNED CHAP.111
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Bill Summary · S 801

Summary — S. 801 (Chapter 111, 2025)

Title shown in metadata (electric‑vehicle standards) appears inconsistent with the bill text. The enacted bill text and introductory material indicate a Massachusetts health‑care measure presented by Senator Michael O. Moore. This summary describes the enacted Massachusetts law (Chapter 111 of 2025) based on the bill text.

Purpose

To reduce administrative barriers to patient care by allowing certain actions and determinations normally required to be made by a physician for insurance coverage or reimbursement to be completed instead by an advanced practice registered nurse (APRN) who is practicing under Massachusetts General Laws, chapter 112, section 80B.

Key provisions

  • Amendments insert new sections into several insurance statutes to permit APRNs to satisfy certain physician‑only requirements for coverage/reimbursement:
    • Chapter 175 — new section 47VV (inserted after §47UU)
    • Chapter 176A — new section 8WW (after §8VV)
    • Chapter 176B — new section 4WW (after §4VV)
    • Chapter 176G — new section 4OO (after §4NN)
  • Each new section provides that when a provision requires a diagnostic evaluation, medical‑necessity determination, certification, written order, prescription, or treatment recommendation by an attending/treating/consulting physician as a condition of coverage or reimbursement, that requirement may be fulfilled by an APRN "practicing under section 80B of chapter 112."
  • Each inserted provision expressly states: "Nothing in this section shall be construed to expand the scope of practice of advanced practice registered nurses."
  • Changes to chapter 176O, section 16:
    • Subsection (a): adds "or advanced practice registered nurse" after the word "physician."
    • Subsection (a): replaces the phrase "treating physician" with "treating provider."
    • Subsection (b): inserts "treating advanced practice registered nurse" after "treating physician."

Who is affected

  • Advanced practice registered nurses (APRN) practicing under M.G.L. c.112 §80B — will be authorized for certain certification, evaluation, order or recommendation tasks for the purposes of insurer coverage/reimbursement.
  • Patients — may experience streamlined access to covered services when APRNs perform required administrative/clinical determinations.
  • Health insurers, managed care organizations, and other payers governed by the amended statutes — must accept qualifying APRN determinations where the statutes previously required a physician.
  • Health care providers and facilities — may adjust administrative workflows, billing, and prior‑authorization practices to reflect APRN certifications and orders.

Scope and limitations

  • The bill is limited to the acceptance of APRN actions for coverage/reimbursement purposes; it explicitly states it does not expand the APRN scope of practice under professional licensing law.
  • Applicability is tied to APRNs practicing under the statutory framework referenced (c.112, §80B).

Procedural status and timeline

  • Filed in the Massachusetts Senate (Senate Docket No. 1315) and presented by Michael O. Moore.
  • Passed both chambers and was delivered to the Governor; signed into law as Chapter 111 on March 20, 2025.
  • Legislative record contains duplicate and overlapping action entries; hearings were scheduled in mid‑2025 per the record but final enactment date is March 20, 2025.

Notes and observations

  • The bill text and introductory lines identify Senator Michael O. Moore as the sponsor; other sponsor names in the provided metadata (Mike Lee, Liz Krueger) appear inconsistent with the Massachusetts bill text and likely reflect erroneous metadata.
  • The law focuses on payer/coverage rules rather than altering professional licensure or clinical authority.

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

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