1 of 1 HOUSE DOCKET, NO. 1311 FILED ON: 1/18/2023 HOUSE . . . . . . . . . . . . . . . No. 137 The Commonwealth of Massachusetts _________________ PRESENTED BY: Gerard J. Cassidy _________________ To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General Court assembled: The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill: An Act providing for insurance coverage for vision screening for children. _______________ PETITION OF: NAME:DISTRICT/ADDRESS :DATE ADDED:Gerard J. Cassidy9th Plymouth1/18/2023Sally P. Kerans13th Essex2/7/2023Michelle M. DuBois10th Plymouth3/1/2023 1 of 5 HOUSE DOCKET, NO. 1311 FILED ON: 1/18/2023 HOUSE . . . . . . . . . . . . . . . No. 137 By Representative Cassidy of Brockton, a petition (accompanied by bill, House, No. 137) of Gerard J. Cassidy, Sally P. Kerans and Michelle M. DuBois for legislation to provide insurance coverage for vision screening for children. Children, Families and Persons with Disabilities. [SIMILAR MATTER FILED IN PREVIOUS SESSION SEE HOUSE, NO. 195 OF 2021-2022.] The Commonwealth of Massachusetts _______________ In the One Hundred and Ninety-Third General Court (2023-2024) _______________ An Act providing for insurance coverage for vision screening for children. Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows: 1 SECTION 1. Chapter 32A of the General Laws, as appearing in the 2006 Official 2Edition, is hereby amended by inserting after section 17I the following section: 3 Section 17J. The commission shall provide to any active or retired employee of the 4commonwealth who is insured under the group insurance commission coverage for the cost of a 5vision screening for children conducted within 12 months prior to entering kindergarten, 6pursuant to the first paragraph of section 57 of chapter 71. The vision screening shall be 7conducted by personnel approved by the department of public health and trained in vision 8screening techniques developed by the department of public health in consultation with the 9department of education. 2 of 5 10 For children who fail to pass the vision screening and for children diagnosed with 11neurodevelopmental delay, the commission shall provide coverage of a comprehensive eye 12examination performed by a licensed optometrist or ophthalmologist chosen by the child’s parent 13or guardian indicating any pertinent diagnosis, treatment, prognosis, recommendation and 14evidence of follow-up treatment, if necessary. 15 SECTION 2. Chapter 118E of the General Laws is hereby amended by inserting after 16section 10F the following section: — 17 Section 10G. The division shall provide coverage for the cost of a vision screening for 18children conducted within 12 months prior to entering kindergarten, pursuant to the first 19paragraph of section 57 of chapter 71. The vision screening shall be conducted by personnel 20approved by the department of public health and trained in vision screening techniques 21developed by the department of public health in consultation with the department of education. 22 For children who fail to pass the vision screening and for children diagnosed with 23neurodevelopmental delay, the division shall provide coverage of a comprehensive eye 24examination performed by a licensed optometrist or ophthalmologist chosen by the child’s parent 25or guardian indicating any pertinent diagnosis, treatment, prognosis, recommendation and 26evidence of follow-up treatment, if necessary. 27 SECTION 3. Chapter 175 of the General Laws is hereby amended by inserting after 28section 110L the following section: — 29 Section 110M. Any blanket or general policy of insurance which is delivered or issued 30for delivery within or without the commonwealth and which covers residents of the 31commonwealth and any employees health and welfare fund which is promulgated or renewed to 3 of 5 32any person or group of persons in the commonwealth shall provide coverage for a vision 33screening for children conducted within 12 months prior to entering kindergarten, pursuant to the 34first paragraph of section 57 of chapter 71.. The vision screening shall be conducted by personnel 35approved by the department of public health and trained in vision screening techniques 36developed by the department of public health in consultation with the department of education. 37 For children who fail to pass the vision screening and for children diagnosed with 38neurodevelopmental delay, coverage shall be provided for a comprehensive eye examination 39performed by a licensed optometrist or ophthalmologist chosen by the child’s parent or guardian 40indicating any pertinent diagnosis, treatment, prognosis, recommendation and evidence of 41follow-up treatment, if necessary. 42 SECTION 4. Chapter 176A of the General Laws, is hereby amended by inserting after 43section 8Z the following section:— 44 Section 8AA. Any contract between a subscriber and the corporation under an individual 45or group hospital service plan that provides hospital expense and surgical expense insurance, 46delivered, issued, or renewed by agreement between the insurer and the policyholder; within or 47without the commonwealth, shall provide coverage for a vision screening for children conducted 48within 12 months prior to entering kindergarten, pursuant to the first paragraph of section 57 of 49chapter 71. The vision screening shall be conducted by personnel approved by the department of 50public health and trained in vision screening techniques developed by the department of public 51health in consultation with the department of education. 52 For children who fail to pass the vision screening and for children diagnosed with 53neurodevelopmental delay, coverage shall be provided for a comprehensive eye examination 4 of 5 54performed by a licensed optometrist or ophthalmologist chosen by the child’s parent or guardian 55indicating any pertinent diagnosis, treatment, prognosis, recommendation and evidence of 56follow-up treatment, if necessary. 57 SECTION 5. Chapter 176B of the General Laws is hereby amended by inserting after 58section 4Z the following section:— 59 Section 4AA. Any subscription certificate under an individual or group medical service 60agreement which provides hospital expense and surgical expense insurance, delivered, issued, or 61renewed by agreement between the insurer and the policyholder, within or without the 62commonwealth, shall provide coverage for a vision screening for children conducted within 12 63months prior to entering kindergarten, pursuant to the first paragraph of section 57 of chapter 71. 64The vision screening shall be conducted by personnel approved by the department of public 65health and trained in vision screening techniques developed by the department of public health in 66consultation with the department of education. 67 For children who fail to pass the vision screening and for children diagnosed with 68neurodevelopmental delay, coverage shall be provided for a comprehensive eye examination 69performed by a licensed optometrist or ophthalmologist chosen by the child’s parent or guardian 70indicating any pertinent diagnosis, treatment, prognosis, recommendation and evidence of 71follow-up treatment, if necessary. 72 SECTION 6. Chapter 176G of the General Laws is hereby amended by inserting after 73section 4S the following section:— 74 Section 4T. Any group health maintenance contract, except contracts providing 75supplemental coverage to Medicare or to other government programs, delivered, issued or 5 of 5 76renewed by agreement within or without the commonwealth shall provide to a member or 77enrollee coverage for a vision screening for children conducted within 12 months prior to 78entering kindergarten, pursuant to the first paragraph of section 57 of chapter 71. The vision 79screening shall be conducted by personnel approved by the department of public health and 80trained in vision screening techniques developed by the department of public health in 81consultation with the department of education. 82 For children who fail to pass the vision screening and for children diagnosed with 83neurodevelopmental delay, coverage shall be provided for a comprehensive eye examination 84performed by a licensed optometrist or ophthalmologist chosen by the child’s parent or guardian 85indicating any pertinent diagnosis, treatment, prognosis, recommendation and evidence of 86follow-up treatment, if necessary.