In 2025, Massachusetts enacted Chapter 343: An Act Enhancing the Market Review Process, charging the Center for Health Information and Analysis (CHIA) -- in coordination with the Division of Insurance and the Health Policy Commission -- with convening a Statewide Quality Advisory Committee (SQAC) that recommends standard quality measure sets (SQMS) for mandatory use in contracts that incorporate quality measures into payment terms between payers and providers.
In accordance with the new requirements outlined in M.G.L. c. 12C, CHIA will collect data about the adoption of the standard quality measure set(s) and provider performance on SQMS measures from payers and/or providers. This data collection may be used to facilitate CHIA’s monitoring of the health system and performance, assigning tiers to health care providers in the design of any health plan, and/or for use on consumer transparency websites and other methods of providing consumer information.
CHIA filed draft regulation 957 CMR 4.00 with the Massachusetts Secretary of State on December 5th, 2025, and published it on CHIA’s website on December 19th, 2025.
957 CMR 4.00 governs the reporting requirements for Payers and/or Providers to provide data on their use of quality measures for incentivization and other information to the Center for Health Information and Analysis to ensure uniform reporting of information in accordance with M.G.L. c. 12C.
On January 15th, 2026 at 10:00 A.M. (EST), CHIA held a remote public hearing relative to the adoption of Regulation 957 CMR 4.00 - Standard Quality Measure Set.
Written testimony must be submitted by 5:00 P.M. on Monday, January 26, 2026. For instructions on how to submit written testimony, please review the Notice of Public Hearing.
