Scope and Content: Setting of rates to be paid by Massachusetts state agencies to health care institutions (and, from 1975, the approval of all hospital rate increases) was the responsibility successively of the Division of Hospital Costs and Finances (1954-1962, within the Commission on Administration and Finance), the Bureau of Hospital Costs and Finances (1963-1968, within the Executive Office for Administration and Finance), and the Rate Setting Commission (1968-1996, within the Executive Office of Human Services (Executive Office of Health and Human Services from 1992)–also known as the Massachusetts Rate Setting Commission). The commission was succeeded in 1996 by the executive office’s Division of Health Care Finance and Policy (DHCFP). From 2003 rates for hospitals were set by  EOHSS itself, as were rates for other health care institutions from 2012, when the division was succeeded by the Center for Health Information and Analysis (CHIA). The center, tasked with collecting and providing  analysis of data to assist in the formulation of health care policy, continues to maintain rate setting records.  Public hearings convened by the current rate setting agency are required in order to adopt or amend rates or related regulations. After issuing notice, holding hearings, and observing a public comment period, the agency files rules and regulations with the state secretary for codification in the Code of Massachusetts Regulations (CMR).
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