H 4339 Massachusetts House · 194th Legislature (2025-2026)

An Act relative to patient access to biomarker testing to provide appropriate therapy

This bill requires health insurance plans covering commonwealth employees (under group insurance) and Medicaid enrollees to cover biomarker testing - tests analyzing tissue or blood to identify biological markers for guiding treatment - when supported by medical evidence like FDA approvals, clinical guidelines, or CMS determinations. Insurers must approve or deny prior authorization requests within 72 hours (24 hours in emergencies), with automatic approval if no response is given. The bill also mandates coverage without unnecessary disruptions, such as multiple biopsies, to ensure continuous patient care.
Bill status in committee 1 of 4 stages cleared
Introduction
Jul 2025
Committee Review
Floor Vote
Governor
Introduced Jul 31, 2025 Last action Dec 4, 2025
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
4
Key actions
2
Committee
3
Dec 4, 2025
Committee
Committee recommended bill ought to pass and referred to the committee on House Ways and Means
lower
Jul 31, 2025
Lower · Passed
Reported favorably by committee and referred to the committee on Health Care Financing
lower
Jul 31, 2025
Lower · Passed
Reported from the committee on Financial Services
lower
0 primary · 61 co-sponsors

Sponsors

No sponsor information available.