By Representative Day of Stoneham, a petition (accompanied by bill, House, No. 1126) of Michael S. Day relative to health care providers providing patients' health insurance carrier with estimates of the expected billing. Financial Services.
By Representative Plouffe of Brockton, a petition (accompanied by bill, House, No. 280) of Bridget Plouffe for legislation to provide insurance coverage for vision screening for children. Children, Families and Persons with Disabilities.
By Representatives Sabadosa of Northampton and Higgins of Leominster, a petition (accompanied by bill, House, No. 1308) of Lindsay N. Sabadosa, Natalie M. Higgins and others relative to health insurance coverage for voluntary female sterilization. Financial Services.
By Representative Garry of Dracut, a petition (accompanied by bill, House, No. 1171) of Colleen M. Garry for legislation to provide insurance coverage for the use of electronic tracking devices to protect the safety of persons with Autism spectrum disorder or Alzheimer’s disease. Financial Services.
By Representative Jones of North Reading, a petition (accompanied by bill, House, No. 1206) of Bradley H. Jones, Jr., and others relative to health insurance coverage for epinephrine injectors. Financial Services.
This bill expands insurance coverage for infertility treatment in Massachusetts by defining infertility broadly to include medical history, need for intervention (like donor gametes), time to conceive, and reproductive challenges. It mandates coverage for specific treatments including up to six oocyte retrievals, unlimited embryo transfers (with single embryo transfer when medically appropriate), artificial insemination, and third-party reproduction like IVF with donor eggs/sperm. Insurers must cover these services without imposing different deductibles, age limits, or arbitrary restrictions that don't align with medical guidelines, and cannot discriminate based on protected characteristics like gender identity or sexual orientation. The law directly affects insured Massachusetts residents seeking infertility care, requiring insurers to provide comprehensive coverage per clinical standards.
By Representative Puppolo of Springfield, a petition (accompanied by bill, House, No. 1290) of Angelo J. Puppolo, Jr., and Bud L. Williams relative to dental insurance coverage of periodontal treatments. Financial Services.
By Mr. Finegold, a petition (accompanied by bill, Senate, No. 755) of Barry R. Finegold for legislation related to health insurance benefits for municipal employees. Financial Services.
This bill (HD 2903) requires health insurance plans to cover epinephrine autoinjectors for anaphylaxis treatment with specific cost limits. It mandates that coverage for one brand-name or generic epinephrine autoinjector (sold as a two-pack) cannot include deductibles or co-insurance, and co-payments must not exceed $60. The law directly affects individuals with severe allergies requiring emergency epinephrine treatment, ensuring predictable out-of-pocket costs for this critical medication. It amends multiple sections of health insurance law to explicitly include anaphylaxis as a covered condition and set the $60 co-pay cap.
HD 3046 requires external medical reviews for denied treatments to be conducted by a Massachusetts-licensed physician certified in the relevant specialty. This physician must identify themselves to the patient, provide a detailed written report with peer-reviewed citations, conduct physical exams when needed, and carry malpractice insurance. The bill also allows patients to appeal denied reviews in superior court and, if successful, recover all attorney fees and costs from the health plan. It directly affects patients challenging insurance denials for medical care. These changes aim to increase transparency and accountability in the external review process.