Healthcare (Insurance)

in committee · Massachusetts · House Dec 4, 2025

H 4550: An Act relative to modern family building

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.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for fertility treatments without discrimination, expanding access to reproductive healthcare services and protecting patient rights under healthcare coverage.95% confidence

Sub-Topics Insurance

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passed · Massachusetts · House Jan 15, 2026

H 1244: An Act providing for prompt health insurance benefits for municipal employees

This bill requires that eligible municipal employees who enroll in the commission's health insurance within their first 10 days of employment receive coverage effective from either their first day of work or their enrollment date, whichever is later. It directly affects municipal employees who join the health insurance plan early in their employment. The key provision changes the effective date of coverage to ensure prompt benefits without delay. The Group Insurance Commission must create implementing regulations within three months of the bill's enactment.

Topics ✓ HealthcareSupports HealthcareBill mandates prompt health insurance benefits for municipal employees, ensuring timely access to coverage and improving healthcare access for this group.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentBill mandates timely health insurance benefits for municipal employees, directly expanding worker benefits under employment standards.95% confidence

Sub-Topics Insurance

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passed · Massachusetts · House Aug 28, 2025

H 1312: An Act relative to Insurance Coverage for Doula Services

HD 2576 requires most health insurance plans in Massachusetts to cover doula services without cost-sharing (like deductibles or copays) for individuals seeking pregnancy, birth, and postpartum support. It defines doula services as non-medical physical, emotional, and informational support during pregnancy, childbirth, adoption, loss, or postpartum, mandating minimum coverage of 20 hours of prenatal/postpartum care per pregnancy plus continuous labor support. Insurance plans must reimburse doulas at MassHealth rates, eliminate referral requirements, follow state credentialing standards, and cover additional hours for heightened needs. The bill applies to state employee insurance, private health plans, and hospital service plans.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for doula services, expanding maternal health access and aligning with healthcare coverage expansion indicators.95% confidence

Sub-Topics Insurance

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passed · Massachusetts · Senate Aug 28, 2025

S 836: An Act to improve outcomes for persons with limb loss and limb difference

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.

Topics ✓ HealthcareSupports HealthcareBill explicitly authorizes insurance coverage for prosthetic/orthotic devices, expanding health coverage access for patients with limb loss.95% confidence

Sub-Topics Insurance

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passed · Massachusetts · Senate Dec 8, 2025

S 685: An Act relative to transparency of consumer health insurance rights

This bill requires health insurance companies in Massachusetts to clearly display key plan details on enrollment cards. Specifically, insurers must list whether a plan is fully insured, the carrier and plan name, member service phone numbers, copay amounts for common services, deductible details, and any other required insurance commissioner information. These disclosures directly affect consumers by making essential coverage terms more visible at sign-up. The law aims to improve transparency about costs and plan features without altering insurance benefits or regulations.

Topics ✓ HealthcareSupports HealthcareBill mandates transparency in health insurance rights, enhancing consumer protections and access to coverage details per its title and summary.95% confidence

Sub-Topics Insurance

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passed · Massachusetts · Senate Jan 29, 2026

S 2599: An Act providing insurance coverage for the medically necessary treatment of port-wine stains

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.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for medically necessary port-wine stain treatment, expanding patient access to healthcare services95% confidence

Sub-Topics Insurance

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passed · Massachusetts · House Jan 28, 2026

H 3946: An Act relative to health insurance coverage for hearing aids

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.

Topics ✓ HealthcareSupports HealthcareRequires health insurance coverage for hearing aids, expanding access to a critical medical device and strengthening patient care options.95% confidence

Sub-Topics Insurance

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introduced · Massachusetts · House

HD 559: An Act to improve outcomes for persons with limb loss and limb difference

HD 559 requires Massachusetts health insurance plans, including MassHealth, to cover prosthetic and orthotic devices for athletic and physical activities - such as running, swimming, or biking - alongside standard medical use. It expands existing coverage to include custom-made devices designed specifically for these activities and mandates repair or replacement for such devices. This applies directly to individuals with limb loss or limb difference who need these devices to participate in physical activities. The bill amends multiple sections of state law to clarify coverage requirements and definitions for these devices.

Topics ✓ HealthcareSupports HealthcareExpands health insurance coverage for prosthetic devices used in athletic activities, requiring plans to cover custom devices and repairs.95% confidence

Sub-Topics Insurance

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passed · Massachusetts · Senate Jan 29, 2026

S 840: An Act relative to insurer responsibility to the operating budgets of health care oversight entities

By Mr. Collins, a petition (accompanied by bill, Senate, No. 840) of Nick Collins for legislation to ensure to insurer responsibility to the operating budgets of health care oversight entities by paying to the commonwealth an amount for the estimated expenses of the commission. Health Care Financing.

Topics ✓ HealthcareSupports HealthcareMandates insurers to fund healthcare oversight entities' operating budgets, directly advancing healthcare financing and oversight stability.95% confidence

Sub-Topics Insurance

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passed · Massachusetts · House Dec 4, 2025

H 1321: An Act relative to transparency of consumer health insurance rights

This bill (HD 1841) requires Massachusetts health insurance carriers to display specific, clear information prominently on enrollment cards. It mandates that carriers include: a statement confirming the plan is fully-insured under Massachusetts law, the carrier and specific plan names, member service contact details, copayment amounts for key services like preventive care, deductible status and amounts, and any additional commissioner-mandated details. These changes directly affect all health insurance carriers operating in Massachusetts and their policyholders by making essential coverage details more visible and accessible on everyday insurance cards. The bill aims to improve transparency about basic plan features without altering coverage benefits or costs.

Topics ✓ HealthcareSupports HealthcareRequires health plans to display clear enrollment information, enhancing consumer transparency and protection of rights per bill title/summary.90% confidence

Sub-Topics Insurance

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