An Act relative to ensuring treatment for genetic craniofacial conditions

This bill (HD 1173) requires specific insurance plans in Massachusetts to cover medically necessary functional repair or restoration for certain congenital craniofacial disorders. It applies to Commonwealth employee health plans, state division programs, private insurance policies, and health maintenance organizations. Coverage must include treatment for ectodermal dysplasia, dentinogenesis imperfecta, and amelogenesis imperfecta (excluding cleft lip/palate, which is covered under separate existing sections), but excludes cosmetic surgery and unrelated dental/orthodontic care. Crucially, these benefits must not face higher deductibles, copays, or out-of-pocket limits than other plan benefits.