HD 2659 mandates Medicaid coverage for rapid whole genome sequencing for Massachusetts children and young adults (under 21) hospitalized in intensive care with complex or acute illnesses of unknown cause. It requires coverage when specific clinical criteria are met, such as multiple congenital anomalies, abnormal metabolic tests, refractory seizures, or genetic-suggestive cardiac findings. The bill specifies results must be delivered within 5 days for preliminary findings and 14 days for final results. Genetic data generated is protected under HIPAA as health information, and the Executive Office of Health and Human Services must implement the policy, including seeking federal approval if needed.
This bill (HD 713) protects vulnerable adults by requiring physicians to confirm informed consent before performing sterilizations on individuals aged 18+ in institutions or under guardianship (Chapter 112 amendment). It also expands Medicaid coverage for voluntary female sterilization, mandating that coverage be provided even without the federal 30-day waiting period if patients complete "Decision Counseling" and sign an informed written consent (Chapter 118E amendment). The law directly affects healthcare providers, Medicaid recipients, and individuals under guardianship or in state institutions. Key mechanisms include the consent requirement for sterilizations and the Medicaid coverage rule tied to counseling and written consent. The bill focuses on ensuring patient autonomy and access to covered reproductive services.
By Mr. Lewis, a petition (accompanied by bill, Senate, No. 881) of Jason M. Lewis for legislation to provide Medicaid coverage for tobacco cessation. Health Care Financing.
By Mr. Lewis, a petition (accompanied by bill, Senate, No. 879) of Jason M. Lewis for legislation to update Medicaid resource limits for seniors. Health Care Financing.
By Representative Ultrino of Malden and Senator Lewis, a joint petition (accompanied by bill, House, No. 1414) of Steven Ultrino and Jason M. Lewis relative to Medicaid resource limits for seniors. Health Care Financing.
By Representative Higgins of Leominster, a petition (accompanied by bill, House, No. 1371) of Natalie M. Higgins and others relative to Medicaid eligibility for certain elders and persons with disabilities. Health Care Financing.
By Mr. Lewis, a petition (accompanied by bill, Senate, No. 881) of Jason M. Lewis for legislation to provide Medicaid coverage for tobacco cessation. Health Care Financing.
This bill (HD 2700) requires most health insurance plans in Massachusetts to cover fertility diagnostic care and fertility treatment for residents diagnosed with infertility, without restrictions based on age, sexual orientation, gender identity, or marital status. It mandates coverage for specific services including at least four oocyte retrievals, unlimited embryo transfers, and unlimited intrauterine insemination cycles. The law prohibits insurers from applying different deductibles, copays, or coverage limits for fertility treatments compared to other medical services and bans exclusions based on third-party services like surrogacy. It directly affects insured residents with infertility diagnoses, state employees (via group insurance), and Medicaid recipients (through expanded coverage in Chapter 118E).
HD 1063 requires health insurance plans and Medicaid to approve non-emergency medical transportation for specific care (dialysis, behavioral health, and post-acute services) with a minimum 3-business-day authorization period. It also mandates that insurers pay providers at least 2.5 times standard rates for these services, including wheelchair van transport. The bill directly affects patients needing these medical trips and ambulance/wheelchair service providers who receive reimbursement. Additionally, it directs the health policy commission to study reimbursement rates for non-emergency transport, including workforce impacts.
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.