Healthcare (Insurance)

passed · Massachusetts · House Mar 12, 2026

H 1172: An Act relative to insurance coverage for new treatment

By Representative Gaskey of Carver, a petition (accompanied by bill, House, No. 1172) of John R. Gaskey relative to insurance coverage for gender-affirming health care services. Financial Services.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for gender-affirming healthcare services, expanding access to a specific medical treatment under healthcare policy.95% confidence

Sub-Topics Insurance

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passed · Massachusetts · House Jan 28, 2026

H 1298: An Act to increase enrollment in affordable health plan networks

This bill modifies Massachusetts health insurance regulations to expand access to affordable plans. It creates new exemptions for insurers whose members are primarily in single-rate regions, enrolled in subsidized coverage (Chapter 176Q), or whose income comes mostly from government programs. Additionally, it requires insurers to include entire provider groups - like all doctors in a practice or all facilities - at once in select or tiered networks, rather than allowing partial inclusion. These changes directly affect health insurance carriers and healthcare providers by altering network design rules and reducing regulatory burden for certain insurers.

Topics ✓ HealthcareSupports HealthcareBill explicitly aims to increase enrollment in affordable health plan networks, directly expanding access to healthcare coverage.95% confidence

Sub-Topics Insurance

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passed · Massachusetts · Senate Feb 26, 2026

S 775: An Act to increase enrollment in affordable health plan networks

By Mr. Kennedy, a petition (accompanied by bill, Senate, No. 775) of Edward J. Kennedy for legislation to increase enrollment in affordable health plan networks. Financial Services.

Topics ✓ HealthcareSupports HealthcareBill explicitly aims to increase enrollment in affordable health plan networks, expanding access to healthcare coverage per support indicators.95% confidence

Sub-Topics Insurance

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passed · Massachusetts · House Mar 12, 2026

H 1138: An Act to increase health insurer reporting transparency

This bill requires health insurers to submit detailed financial and operational data to the state center, including metrics like operating margins, enrollment, premiums, medical expenses, and administrative costs. The center must analyze this data and publish public reports periodically, including annually, showing industry-wide and payer-specific information. It directly affects all private and public health insurers operating in the state by mandating transparency in their financial reporting. The reports will provide accessible data on insurer performance for public review, without specifying outcomes or policy impacts.

Topics ✓ HealthcareSupports HealthcareBill explicitly increases health insurer reporting transparency, promoting accountability in healthcare coverage and aligning with patient rights protections.92% confidence

Sub-Topics Insurance

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passed · Massachusetts · Senate Feb 26, 2026

S 782: An Act to increase health insurer reporting transparency

SD 1556 requires health insurers to submit specific data to state agencies and mandates public reporting of that information. The bill directs the state health center to annually evaluate and publish insurer data metrics (including coverage, costs, and quality measures) in a public report, and directs the Insurance Commissioner to make all submitted insurer data easily accessible online each year. This directly affects health insurance companies by requiring them to provide standardized data, and it directly benefits consumers and researchers by making insurer performance data publicly available. The key change is creating a consistent, transparent process for releasing insurer data that was previously not systematically shared.

Topics ✓ HealthcareSupports HealthcareBill increases health insurer reporting transparency, enhancing accountability and oversight in healthcare coverage systems.85% confidence

Sub-Topics Insurance

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passed · Massachusetts · House Feb 5, 2026

H 1267: An Act relative to unilateral contract changes

This bill prohibits health insurance companies from including clauses in contracts with healthcare providers that allow termination without cause or unilateral changes to key terms like payment rates, covered services, or quality policies. It requires insurers to provide written notice of any proposed changes at least 90 days before the contract renewal date, with changes only taking effect after the current contract term ends. The state health insurance commission must also avoid purchasing policies from insurers that violate these rules. The law directly affects healthcare providers (doctors, clinics, hospitals) and insurers by increasing contract stability and transparency.

Topics ✓ HealthcareSupports HealthcareRegulates health insurance contracts to prevent unilateral changes, protecting patient access and rights in coverage.85% confidence

Sub-Topics Insurance

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passed · Massachusetts · Senate Jan 29, 2026

S 814: An Act relative to health insurance coverage notification

By Mr. Oliveira, a petition (accompanied by bill, Senate, No. 814) of Jacob R. Oliveira for legislation to give patients a 60 day notice of any increase to out of pocket health insurance costs. Financial Services.

Topics ✓ HealthcareSupports HealthcareMandates 60-day notice for out-of-pocket cost increases, protecting patient rights and transparency in health insurance coverage as per bill summary.95% confidence

Sub-Topics Insurance

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passed · Massachusetts · Senate Dec 4, 2025

S 713: An Act relative to adequate notice for health insurance modifications

By Mr. Cyr, a petition (accompanied by bill, Senate, No. 713) of Julian Cyr for legislation relative to adequate notice for health insurance modifications. Financial Services.

Topics ✓ HealthcareSupports HealthcareRequires insurers to provide adequate notice before modifying coverage, protecting consumer rights and ensuring transparency in health insurance changes.95% confidence

Sub-Topics Insurance

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in committee · Massachusetts · House Jul 29, 2026

H 4616: An Act improving the health insurance prior authorization process

H 4616 requires health insurance companies in Massachusetts to publicly list all medical services, drugs, and procedures needing pre-approval (prior authorization) on their websites. Insurers must also report annual data on approval/denial rates, processing times, and appeal outcomes in a standardized format. The bill prevents insurers from denying coverage for services already approved or denying claims over minor administrative errors (unless fraud is proven), and bans retrospective denials unless fraud occurred. This directly affects insurers, healthcare providers, and patients by making the authorization process more transparent and reducing unexpected coverage denials.

Topics ✓ HealthcareSupports HealthcareRequires insurers to disclose prior auth requirements and prevent unjust denials, improving patient access and protecting rights.95% confidence

Sub-Topics Insurance

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passed · Massachusetts · House Jan 28, 2026

H 4162: An Act to increase access to healthcare for ostomy patients

HD 2829 requires all health insurance plans in Massachusetts to cover all medical supplies for ostomy care at a minimum Medicare reimbursement rate, eliminating barriers like non-medical supply requirements. It mandates hospitals performing ostomy surgery to employ certified ostomy care specialists and provide follow-up outpatient care, while ensuring prescriptions for these supplies remain valid for at least one year without interruption. The bill also requires insurers to transfer patient ostomy care information to new insurers within 72 hours and provide one month's notice with samples before changing product substitutions. This directly benefits ostomy patients by improving access to consistent, uninterrupted care, while setting new standards for insurers, hospitals, and suppliers.

Topics ✓ HealthcareSupports HealthcareBill explicitly aims to increase healthcare access for ostomy patients via insurance coverage expansion, directly advancing patient access and coverage under healthcare policies.95% confidence

Sub-Topics Insurance

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