Massachusetts General Laws

Mass. Gen. Laws ch. 175H, § 1 (2026)

Definitions

✓ current as of July 2026

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Section 1. As used in this chapter the following words shall have the following meanings, unless the context otherwise requires:—

''False'', wholly or partially false, fictitious, fraudulent, untrue or deceptive.

''Health care benefit'', a payment for health care services or the right under a contract or a certificate or policy of insurance to have a payment made by a health care corporation or health care insurer for a specified health care service.

''Health care corporation'', a nonprofit hospital service corporation organized pursuant to chapter one hundred and seventy-six A, a nonprofit medical service corporation organized pursuant to chapter one hundred and seventy-six B, a medical service corporation organized pursuant to chapter one hundred and seventy-six C, a dental service corporation organized pursuant to chapter one hundred and seventy-six E, an optometric service plan organized pursuant to chapter one hundred and seventy-six F, and a health maintenance organization organized pursuant to chapter one hundred and seventy-six G.

''Health care insurer'', any insurance company authorized to provide health insurance in this state or any legal entity which is self-insured and providing health care benefits to its employees.

''Person'', an individual, corporation, partnership, association, or any other legal entity.

Notes of Decisions

Cited in 1 case, 2020–2020 · leading case: Commonwealth v. Stirlacci (Mass. 2020).

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Commonwealth v. Stirlacci (Mass. 2020). “" See G. L. c. 175H, § 1. According to the Commonwealth, there was probable cause to find that the defendants made false statements by submitting claims to insurance providers using billing codes indicating that the patients had been seen by a doctor.”

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