Creates a MassHealth Payment Policy Advisory Board to review and evaluate Medicaid rates and rate methodologies, especially rates paid to Community Health Centers.

Allows individuals to purchase coverage through the small group insurance market, and provides that the small group insurance law provisions apply to all small business and individual plans issued by an insurance carrier, by the Connector, or through an intermediary.

Provides definitions pertaining to Connector Seal of Approval for private insurace plans.

Requires HMO plan carriers to provide written statements verifying that a health plan provides creditable coverage to both the insured and to the commissioner of revenue.

Provides that an HMO plan covering a young adult will be approved as a Young Adult Health Benefit Plan if it complies with young adults plan standards.

An HMO can include a maximum deductible consistent with the maximum contribution requirements allowed for a federally-established Health Savings Account.

Provides that an HMO may only sell a group health plan to employers if the insurance is offered to all full-time employees. The employer must offer to cover the same premium contribution percentage for each employee but may allow greater contribution percentages to lower paid employees and separate percentages for employees with collective bargaining agreements.

Requires HMO family policies to extend coverage to children up to 26 years of age or for 2 years after "loss of dependent status," whichever occurs first.

Requires insurers to provide written statements verifying that a health plan provides creditable coverage to both the insured and to the commissioner of revenue.

Requires family policies to extend coverage to children up to 26 years of age or for 2 years after "loss of dependent status," whichever occurs first.