Healthcare (Insurance)

introduced · Massachusetts · House

HD 2603: An Act relative to colorectal and breast cancer screenings

This bill requires all health insurance plans sold in Massachusetts to cover colorectal and breast cancer screenings without cost-sharing. Specifically, it prohibits deductibles, copayments, or coinsurance for both the initial screening (like a colonoscopy or mammogram) and any additional screenings ordered by a doctor within the same policy year. The law applies to all individual and group health insurance plans, including employer-sponsored coverage and state employee plans. It directly affects insured Massachusetts residents by ensuring these preventive screenings are fully covered at no out-of-pocket cost.

Topics ✓ HealthcareSupports HealthcareMandates zero cost-sharing for cancer screenings, expanding access to preventive care under insurance plans per bill summary.95% confidence

Sub-Topics Insurance

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introduced · Massachusetts · House

HD 2610: An Act relative to the treatment of infantile cataracts

This bill requires all health insurance policies covering infantile cataract surgery in Massachusetts to include coverage for aphakic lenses (lenses needed after cataract surgery) and related prosthetic contact lenses or glasses, as determined medically necessary by a physician. It directly affects children diagnosed with infantile cataracts and their families, ensuring insurance coverage for essential post-surgery vision correction. The law mandates this coverage across multiple insurance regulatory chapters, overriding any existing policy exclusions. It focuses on concrete policy changes by requiring insurers to cover these specific treatments without additional patient cost for medically necessary items.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for essential post-surgery vision correction (aphakic lenses/prosthetics), expanding patient access to necessary care for infant cataract treatment.95% confidence

Sub-Topics Insurance

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introduced · Massachusetts · House

HD 2665: An Act to redirect excessive health insurer reserves to support health care safety net programs

This bill requires health insurance companies with reserves exceeding 550% of risk-based capital to pay an assessment generating $400 million in 2023. The funds will be split equally: $200 million to the Health Safety Net Trust Fund (supporting community health programs) and $200 million to the Medicaid Stabilization Trust Fund (to prevent cuts in MassHealth services and provider reimbursements). The assessment applies only to insurers meeting the reserve threshold and expires on December 31, 2026. It directly affects health insurers with significant excess reserves, redirecting those funds to stabilize healthcare access for low-income residents.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill imposes targeted assessment on insurers to fund health safety net and Medicaid programs, increasing public service funding through fiscal measure.95% confidence ✓ HealthcareSupports HealthcareRedirects $400M from insurers to Health Safety Net and Medicaid Trust Funds to support community health programs and prevent MassHealth service cuts.95% confidence

Sub-Topics Insurance Medicaid

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introduced · Massachusetts · Senate

SD 1557: An Act relative to premium impact statements

This bill requires Massachusetts health insurance and healthcare agencies to analyze how proposed regulations might affect insurance premiums before adopting them. Specifically, agencies must create a "premium impact statement" assessing potential rate changes and allow public input on this analysis before finalizing rules. Additionally, legislative committees cannot advance healthcare or insurance bills until the Center for Health Information and Analysis provides a premium impact statement for that legislation. The law directly affects state agencies creating health regulations and legislative committees reviewing health-related bills.

Topics ✓ HealthcareSupports HealthcareRequires premium impact analysis to assess rate changes, preventing potential cost increases for consumers.85% confidence

Sub-Topics Insurance

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introduced · Massachusetts · House

HD 3211: 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 expands affordable health plan access through regulatory changes, increases enrollment requirements, and mandates full provider network inclusion to improve patient access.95% confidence

Sub-Topics Insurance

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introduced · Massachusetts · House

HD 3559: An Act concerning the safety of autistic and alzheimer individuals

HD 3559 requires health insurance plans to cover technology-assisted tracking devices for insured individuals diagnosed with dementia, Alzheimer's disease, or autism spectrum disorder. The law mandates that these devices must meet specific safety standards, including being waterproof (IP66/IP68), working indoors without cellular service (using radio frequency), having tamper-resistant straps, and avoiding false alarms. Insurance coverage applies after standard co-pays, deductibles, and out-of-pocket limits. This directly affects insured individuals with these conditions and their caregivers by making essential safety devices more accessible.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for tracking devices for dementia, Alzheimer's, and autism, expanding access to healthcare services after standard costs.95% confidence

Sub-Topics Insurance

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passed · Massachusetts · Senate Feb 27, 2025

SD 699: 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 of policy changes, protecting consumers from sudden coverage modifications and ensuring transparency in health insurance.90% confidence

Sub-Topics Insurance

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passed · Massachusetts · Senate Jan 29, 2026

S 908: An Act establishing a healthcare insurance premium payment pool for working families

By Mr. Tarr, a petition (accompanied by bill, Senate, No. 908) of Bruce E. Tarr for legislation to establish a healthcare insurance premium payment pool for working families. Health Care Financing.

Topics ✓ HealthcareSupports HealthcareEstablishes premium payment pool to make healthcare insurance affordable for working families, directly expanding coverage access and reducing out-of-pocket costs.95% confidence

Sub-Topics Insurance

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in committee · Massachusetts · House Jun 17, 2026

H 4342: An Act assuring prompt access to health care

H 4342 requires most health insurance plans in Massachusetts to cover routine outpatient doctor visits and basic medical care without requiring patients to pay a deductible first. This applies to standard individual, group, and employer-sponsored health insurance plans sold within the state. Certain federal tax-exempt health plans may still require deductibles to maintain their tax status. The law aims to reduce upfront costs for common medical services like check-ups and minor treatments.

Topics ✓ HealthcareSupports HealthcareMandates no deductibles for routine care, reducing patient costs and improving access to basic medical services like check-ups.95% confidence

Sub-Topics Insurance

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passed · Massachusetts · Senate Sep 8, 2025

SD 3010: An Act requiring health insurance coverage for scalp cooling systems

By Mr. Rush, a petition (accompanied by bill, Senate, No. 2600) (subject to Joint Rule 12) of Michael F. Rush for legislation to require health insurance coverage for scalp cooling systems. Financial Services.

Topics ✓ HealthcareSupports HealthcareRequires health insurance coverage for scalp cooling systems, expanding patient access to a specific cancer treatment option.95% confidence

Sub-Topics Insurance

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