Rep. Sam Montaño

Maddy summaryThis bill directs the Massachusetts Health Insurance Connector Authority to run a five-year pilot program starting in 2024 that expands affordable health coverage to individuals earning up to 500 percent of the federal poverty level. Under the program, eligible applicants between 300 and 500 percent of the poverty line would gain access to health plans with at least 90 percent actuarial value, while funding for these subsidies would come from the Commonwealth Care Trust Fund. The legislation also requires the Connector Authority to evaluate the program's impact on healthcare access, costs, and health equity by collecting specific data annually and submitting reports to state officials by December 2026 and December 2029.

Maddy summaryThis bill expands fertility preservation coverage for MassHealth enrollees and individuals with private health insurance who face infertility risks due to treatments like chemotherapy or radiation. It specifically includes sickle cell disease in the list of conditions that may lead to iatrogenic infertility, ensuring these patients can access services such as egg and sperm storage before undergoing necessary medical procedures. The legislation requires private insurers to cover these medically necessary services without discrimination based on age, disability, or other health factors, while also mandating that the state report on the financial impact of this coverage every three years.

Maddy summaryThis bill amends Massachusetts law to require Medicaid and certain other insurance plans to cover doula services for pregnant and postpartum individuals, including those with limited immigration status. It defines doula services as non-medical support provided during pregnancy, labor, and up to one year after birth, covering activities such as continuous labor support, home visits, and connecting families to community resources. The legislation mandates that plans cover continuous labor support and at least six visits across the prenatal and postpartum period without needing prior approval. Additionally, the bill creates a Doula Advisory Committee to guide policy implementation, ensuring the committee includes diverse representatives such as practicing doulas, individuals with lived maternal health experiences, and people from communities with worse maternal outcomes.

By Representatives Gentile of Sudbury and Kane of Shrewsbury, a petition (accompanied by bill, House, No. 2182) of Carmine Lawrence Gentile, Hannah Kane and others for legislation to reduce incidence and death from pancreatic cancer. Public Health.

Maddy summaryThis bill requires insurance companies in Massachusetts to pay safety net hospitals at least as much as the state's average commercial rate for inpatient and outpatient services. It specifically targets acute care hospitals that treat at least 25% of their patients through Medicaid and serve communities facing health disparities due to race, ethnicity, or socioeconomic status. If an insurer pays these hospitals less than the statewide average, their commercial insurance rates will be automatically rejected by the state insurance commissioner unless they provide proof of higher payments. The law applies to all commercial health plans starting January 1, 2023, aiming to ensure these hospitals receive fair reimbursement to maintain access to care.

Maddy summaryThis bill creates a special commission to study ways to improve pollinator health by increasing native habitat in places like farms, forests, parks, and urban areas. The commission will include representatives from government agencies, universities, farmers, beekeepers, and environmental groups, with the secretary of energy and environmental affairs serving as chair. Over the next year, the group will review current laws, compare successful programs from other states, assess funding needs, and gather data on pollinator populations. By May 1, 2025, the commission must submit its findings and any recommended laws to the state legislature for further action.

Maddy summaryThis bill aims to improve access to telehealth services and address digital inequality for patients in Massachusetts. It requires state agencies to link the application process for affordable internet programs with the portal used to apply for other health benefits, helping those who need reliable internet to use telehealth. Additionally, the bill restricts insurance companies from requiring prior authorization for telehealth visits if they do not require it for in-person appointments and mandates that telehealth coverage includes reimbursement for interpreter services for patients with limited English proficiency or hearing impairments.

Maddy summaryThis bill prohibits health insurance carriers in Massachusetts from forcing patients to switch to cheaper alternative drugs if their current prescription is medically stable and was prescribed within the last six months. It specifically bans insurers from increasing costs, reducing coverage limits, or moving covered medications to more restrictive tiers during open enrollment or after a plan year begins. The law requires that coverage for these approved medications continue through the end of the patient's eligibility period unless the drug's safety is questioned by the FDA or its manufacturer.

Maddy summaryThis bill amends Massachusetts health insurance laws to clarify how out-of-pocket costs are calculated for consumers. It requires insurers to count any payments made by the patient or on their behalf, such as those from family members or employers, toward the individual's deductible and other cost-sharing obligations. The change ensures that these payments are applied immediately and fully to reduce what the enrollee owes, rather than being treated separately. The new rules will take effect for health plans entered into, amended, extended, or renewed on or after January 1, 2024.

Maddy summaryThis bill amends Massachusetts law to prevent licensing boards from automatically denying professional licenses solely because an applicant has a criminal record. It requires these authorities to consider each case individually and explicitly forbids the use of certain past offenses, such as sealed records, non-violent misdemeanors, and crimes older than three years, in licensing decisions. Under the new rules, a license can only be restricted if officials prove with clear and convincing evidence that the specific crime directly relates to the job's duties and that public safety risks outweigh the individual's right to work. The legislation applies to all agencies and boards that issue occupational licenses or collect licensing fees across the state.