An Act providing for certain health insurance coverage

This bill (H 4937) requires all health insurance plans in Massachusetts - covering both group and individual policies - to cover medically necessary enteral formulas for home use (administered orally or via tube feeding) when prescribed by a physician for specific serious conditions. It directly affects insured individuals with conditions like Crohn's Disease, inherited metabolic disorders, severe food allergies, or gastrointestinal motility disorders that could cause malnutrition or disability if untreated. The key provision mandates that a physician's written order must confirm the formula is medically necessary as a disease-specific treatment, distinguishing it from elective nutritional supplements. Coverage applies to all policyholders, including Commonwealth employees and retirees under group insurance plans.