By Mr. Cyr, a petition (accompanied by bill, Senate, No. 850) of Julian Cyr for legislation to ensure that students who are enrolled in and pursuing a nursing career program of higher education shall be eligible for career pathway financial assistance. Health Care Financing.
By Mr. Finegold, a petition (accompanied by bill, Senate, No. 759) of Barry R. Finegold for legislation to redirect excessive health insurer reserves to support health care needs. Financial Services.
By Mr. Cronin, a petition (accompanied by bill, Senate, No. 1500) of John J. Cronin for legislation relative to health care transparency. Public Health.
This bill adds pregnancy as a qualifying event for special enrollment in Massachusetts' state health insurance exchange under the Affordable Care Act. It allows pregnant individuals to enroll in a health plan within 30 days of pregnancy start (with certification from a licensed healthcare provider) and requires coverage to be effective the first day of the following month. The change directly affects pregnant people seeking health insurance, removing typical enrollment barriers during pregnancy. Coverage must begin no later than the first day of the month after certification is received. The law takes effect January 1, 2026.
By Mr. O'Connor, a petition (accompanied by bill, Senate, No. 2053) of Patrick M. O'Connor for legislation to establish a tax credit for individuals paying for home health care and hospice. Revenue.
By Mr. Feeney, a petition (accompanied by bill, Senate, No. 1534) of Paul R. Feeney for legislation to protect the independence of clinical decision making. Public Health.
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.
This bill requires home care agencies providing state-funded home care services to enter into labor peace agreements with labor organizations representing their workers, ensuring uninterrupted service delivery. Agencies must submit regular attestations to the Department of Elder Affairs detailing their labor relations status, including whether agreements exist, negotiations are underway, or no union representation is sought. Failure to comply may result in contract termination and a four-year ban on future state contracts for repeated violations. The policy directly affects home care agencies, workers, and the state's home care program participants.
This bill (HD 3104) defines "serious mental illness" in Massachusetts law to include eight specific conditions (like schizophrenia, bipolar disorder, and PTSD) as listed in the DSM. It directly affects patients diagnosed with these conditions and their health insurers. The key provision prohibits insurance companies and health plans from requiring prior authorization, step therapy, or other delays for FDA-approved medications treating these defined mental illnesses. This removes administrative barriers to accessing necessary medications for these patients. The law applies to all health insurance carriers and plans operating under Massachusetts Chapter 176O and Chapter 118E.
By Representative Mahoney of Worcester, a petition (accompanied by bill, House, No. 1386) of John J. Mahoney for legislation to establish an electronic system of public reporting for providers as a prerequisite condition for advancing overdue medical bills to debt collection agencies. Health Care Financing.