Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H4340

Introduced
7/31/25  

Caption

Relative to telehealth parity for nutrition counseling

Impact

The proposed legislation is expected to have a significant impact on state healthcare laws by reinforcing telehealth as a legitimate and compensable form of healthcare delivery. By mandating equal payment for in-network providers delivering medical nutrition therapy remotely, the bill aims to enhance access to essential health services for patients who may have difficulty attending in-person appointments. Proponents argue that this parity will promote better health outcomes by facilitating earlier intervention and ongoing support through nutrition counseling, particularly for patients managing chronic diseases.

Summary

House Bill 4340 aims to establish telehealth parity for nutrition counseling services in Massachusetts. The bill includes amendments to various chapters of the General Laws, specifically introducing the definition of 'medical nutrition therapy' which comprises nutrition care services provided by licensed dietitians/nutritionists. The legislation emphasizes that these services should be covered both when delivered in-person and through telehealth methods, including interactive audio-video technology and audio-only calls. This alignment is crucial to ensure that telehealth practices are recognized and reimbursed at the same rate as traditional face-to-face consultations.

Contention

Despite the bill's potential benefits, concerns around telehealth parity remain. Critics may argue about the feasibility of ensuring quality care via remote methods and question whether such a reimbursement structure might lead to overutilization of services. Additionally, there are ongoing discussions regarding the adequacy of training and resources available for nutrition professionals to effectively provide care through telehealth channels. The balance between accessibility, quality of care, and fiscal responsibility in implementing these changes poses a significant point of contention among legislators and stakeholders.

Companion Bills

MA H1288

Replaces Relative to telehealth parity for nutrition counseling

Previously Filed As

MA H1073

Relative to telehealth parity for nutrition counseling

MA S618

Relative to telehealth parity for nutrition counseling

MA H1072

Relative to behavioral health and nutrition counseling

MA H3585

Relative to telehealth and digital equity for patients

MA H986

Relative to telehealth and digital equity for patients

MA S655

Relative to telehealth and digital equity for patients

MA H5143

Relative to treatments and coverage for substance use disorder and recovery coach licensure

MA H4999

Promoting access to midwifery care and out-of-hospital birth options

MA H4758

Relative to treatments and coverage for substance use disorder and recovery coach licensure

MA H4785

Promoting access to midwifery care and out-of-hospital birth options

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