HD 3404 Massachusetts House · 194th Legislature (2025-2026)

An Act to protect qualified medicare beneficiaries from improper billing

This bill prohibits Medicare, Medicare Advantage, and MassHealth providers from billing QMB (Qualified Medicare Beneficiary) beneficiaries for Medicare Part A or Part B cost-sharing, such as deductibles or co-pays. It directly protects low-income Medicare beneficiaries in the QMB eligibility group, who qualify for full Medicare cost-sharing assistance under federal and state law. Providers who violate this rule face potential sanctions, including monetary fines, within 90 days of the law taking effect, though minor errors or good-faith mistakes may be considered mitigating circumstances. The law aims to prevent improper billing by requiring providers to comply with existing cost-sharing protections for this specific beneficiary group.
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P
Photo of Steve Ultrino
Steve Ultrino
DDemocratic
MA
33rd Middlesex