By Bob Katzen

The Committee on Consumer Protection and Professional Licensure gave a favorable report and has recommended that the House and Senate approve a bill that would prohibit health insurance carriers, particularly in the context of direct primary car (DPC) arrangements, from denying payment for covered health care services based solely on the provider being outside the carrier’s network, as long as the service itself is covered.

The measure also clarifies that dispensing controlled substances must be for a legitimate medical purpose; and removes restrictive language about dosage limits and emergency dispensing, potentially easing access for patients in urgent need.

“I proposed this legislation to minimize the burdens that come with seeking care,” said sponsor Sen. Michael Moore (D-Millbury). “This bill would bring Massachusetts into line with several other states that recognize the essential care services that DPC physicians provide and help connect underserved communities with healthcare that is covered by the insurance they already pay for. The way people are receiving essential healthcare is changing – our medical systems should change with it.”