H 1015 Massachusetts House · 193rd Legislature (2023-2024)

An Act providing for certain health insurance coverage

This bill requires health insurance plans in Massachusetts to cover the cost of medically necessary enteral formulas for home use. It directly affects employees of the Commonwealth, individuals with private accident and sickness insurance, and subscribers to hospital service plans or medical service agreements. Coverage is mandated only when a physician provides a written order stating that the formula is necessary for treating specific diseases like Crohn's, severe food allergies, or certain metabolic disorders that could lead to malnutrition or disability. The legislation explicitly distinguishes these medically required treatments from elective nutritional supplements.
Bill status passed 3 of 4 stages cleared
Introduction
Feb 2023
Committee Review
Apr 2024
Senate Passage
Feb 2023
Governor
Introduced Feb 16, 2023 Last action Apr 18, 2024
Floor votes

How they voted

This bill passed the Senate. No roll call record of that vote is available.
Full legislative history

Actions timeline

Total actions
5
Key actions
1
Committee
3
Apr 18, 2024
Committee
Committee recommended bill ought to pass and referred to the committee on House Ways and Means
lower
Mar 7, 2024
Committee
Reported favorably by committee and referred to the committee on Health Care Financing
lower
Feb 16, 2023
Upper · Passed
Senate concurred
upper
Feb 16, 2023
Committee
Referred to the committee on Financial Services
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Sean Garballey
Sean Garballey
DDemocratic
MA
23rd Middlesex