By Mr. O'Connor, a petition (accompanied by bill, Senate, No. 2599) (subject to Joint Rule 12) of Patrick M. O'Connor for legislation to provide insurance coverage for the medically necessary treatment of port-wine stains. Financial Services.
By Representative Kassner of Hamilton, a petition (accompanied by bill, House, No. 1216) of Kristin E. Kassner and others relative to insurance coverage of hearing aids. Financial Services.
By Representative Silvia of Fall River, a petition (accompanied by bill, House, No. 1323) of Alan Silvia relative to insurance coverage for individuals with autism. Financial Services.
H 4550 requires health insurance plans in Massachusetts to cover fertility diagnostic care and treatments for individuals diagnosed with infertility, without restrictions based on age, sexual orientation, gender identity, or family status. The bill mandates coverage for up to four oocyte retrievals, unlimited embryo transfers, and unlimited intrauterine insemination cycles, while explicitly excluding non-medical costs like donor gametes or surrogacy. It also requires healthcare providers to complete training on LGBTQ+ family-building resources and eliminates discriminatory coverage limitations for infertility services. This applies to both group insurance plans (including for state employees) and medical assistance programs, as detailed in Sections 2 and 4 of the bill.
By Representative LeBoeuf of Worcester, a petition (accompanied by bill, House, No. 1244) of David Henry Argosky LeBoeuf and Steven J. Ouellette relative to health insurance for municipal employees. Financial Services.
HD 3095 (Massachusetts) defines infertility and mandates comprehensive health insurance coverage for infertility treatment. The bill requires insurers to cover specific services including up to six oocyte retrievals, unlimited embryo transfers (with single embryo transfer when medically appropriate), artificial insemination, sperm extraction, and third-party reproduction like IVF with donor eggs/sperm or gestational carriers. Insurers cannot impose extra restrictions such as higher deductibles, age limits, limits on treatment attempts, or discrimination based on protected characteristics (e.g., gender identity, sexual orientation). This coverage must align with clinical guidelines from major medical societies and cannot override existing benefits or medical provider judgment. The law directly affects insured individuals seeking infertility treatment in Massachusetts.
HD 3546 requires all health insurance plans in Massachusetts to cover physical therapy for Ehlers-Danlos Syndrome (EDS) patients. The law mandates coverage for preventative, ongoing chronic maintenance, and acute physical therapy when a physician determines it is medically necessary after evaluating symptoms, test results, or treatment response. Insurers cannot deny this coverage solely because the therapy is labeled "unproven," "experimental," or "investigational." This applies to group plans (including state employee coverage), individual policies, and health maintenance contracts, directly benefiting EDS patients by ensuring access to necessary care without arbitrary coverage barriers.
HD 3015, "An Act relative to health insurance coverage for hearing aids," requires Massachusetts health insurance plans to cover hearing aids for insured residents with hearing loss. The bill mandates coverage for one hearing aid per hearing-impaired ear every 36 months, based on a physician's written statement, with earlier coverage allowed if hearing changes. It includes the hearing aid deemed best by the patient and audiologist (regardless of brand), all related services (evaluation, fitting, adjustments), supplies (ear molds, batteries), and repairs/replacements if the device fails. Insurance plans must limit copayments to $200 max, apply the same terms as other durable medical equipment, and cover both group and non-group policies. This directly affects Massachusetts residents with hearing loss who have health insurance.
By Representative Sabadosa of Northampton, a petition (accompanied by bill, House, No. 1312) of Lindsay N. Sabadosa and others relative to insurance coverage for Doula Services. Financial Services.
By Mr. Velis, a petition (accompanied by bill, Senate, No. 836) of John C. Velis and Joanne M. Comerford for legislation to authorize insurance coverage for prosthetic devices and orthotic devices. Financial Services.