Massachusetts 2023-2024 Regular Session

Massachusetts House Bill H1081 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	1 of 1
2	2	HOUSE DOCKET, NO. 2499 FILED ON: 1/19/2023
3	3	HOUSE . . . . . . . . . . . . . . . No. 1081
4	4	The Commonwealth of Massachusetts
5	5	_________________
6	6	PRESENTED BY:
7	7	John J. Lawn, Jr.
8	8	_________________
9	9	To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
10	10	Court assembled:
11	11	The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
12	12	An Act relative to preserving preventative services without cost sharing.
13	13	_______________
14	14	PETITION OF:
15	15	NAME:DISTRICT/ADDRESS :DATE ADDED:John J. Lawn, Jr.10th Middlesex1/19/2023Smitty Pignatelli3rd Berkshire1/31/2023Brian W. Murray10th Worcester1/31/2023Lindsay N. Sabadosa1st Hampshire2/2/2023Vanna Howard17th Middlesex2/2/2023 1 of 2
16	16	HOUSE DOCKET, NO. 2499 FILED ON: 1/19/2023
17	17	HOUSE . . . . . . . . . . . . . . . No. 1081
18	18	By Representative Lawn of Watertown, a petition (accompanied by bill, House, No. 1081) of
19	19	John J. Lawn, Jr. and others relative to preserving preventative services without cost sharing.
20	20	Financial Services.
21	21	The Commonwealth of Massachusetts
22	22	_______________
23	23	In the One Hundred and Ninety-Third General Court
24	24	(2023-2024)
25	25	_______________
26	26	An Act relative to preserving preventative services without cost sharing.
27	27	Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
28	28	of the same, as follows:
29	29	1 SECTION 1. Chapter 176O of the General Laws is hereby amended by adding the
30	30	2following section:-
31	31	3 Section 30. (a) For a health plan issued on or after January 1, 2025, a carrier, as defined
32	32	4by this chapter or subject to chapters 32A or 176J, shall, at a minimum, provide coverage for: (i)
33	33	5evidence-based items or services that have a rating of A or B in the recommendations of the
34	34	6United States Preventive Services Task Force, with respect to the individual involved; (ii)
35	35	7immunizations for routine use in children, adolescents and adults in accordance with the
36	36	8recommendations and immunization schedules from the Advisory Committee on Immunization
37	37	9Practices and approved by the director of the centers for disease control and prevention, with
38	38	10respect to the individual involved; (iii) evidence-informed preventive care and screenings for
39	39	11infants, children and adolescents, as described in comprehensive guidelines supported by the
40	40	12Health Resources and Services Administration; and (iv) evidence-informed preventive care for 2 of 2
41	41	13women, to the extent not described in clause (i) of this subsection; provided, that such coverage
42	42	14shall not be subject to any cost-sharing, including co-payments and co-insurance, and shall not
43	43	15be subject to any deductible.
44	44	16 (b) Nothing in this section shall prohibit a carrier from providing coverage for items and
45	45	17services in addition to those recommended by the United States Preventive Services Task Force,
46	46	18the Advisory Committee on Immunization Practices, and the Health Resources and Services
47	47	19Administration, or denying coverage for items and services that are not recommended.
48	48	20 (c) If a recommendation described in subsection (a) is changed during a health plan year,
49	49	21a carrier is not required to make changes to that health plan during the plan year.
50	50	22 (d) The division shall issue guidance as necessary to implement and enforce this section.
51	51	23 SECTION 2. The division of insurance shall issue guidance under section 30 of
52	52	24subsection (d) of chapter 176O of the General Laws not later than 90 days after the effective date
53	53	25of this act.