An Act to ensure access to scalp and facial hair prostheses for children and adults with alopecia areata

This bill (H 4552) requires health insurance policies in Massachusetts to cover scalp hair prostheses and facial medical pigmentation (like eyebrow replacements) for people with specific hair loss conditions. It directly affects individuals diagnosed with alopecia areata, alopecia totalis, non-classical 21-hydroxylase deficiency, or permanent hair loss due to injury (excluding natural aging). Insurance must provide this coverage on the same terms as prostheses for chemotherapy-related hair loss, subject to a treating physician’s written confirmation of medical necessity. The law applies to all individual/group health plans, hospital service contracts, and health maintenance organizations operating in or outside Massachusetts.