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SENATE DOCKET, NO. 1471 FILED ON: 1/19/2023
SENATE . . . . . . . . . . . . . . No. 647
The Commonwealth of Massachusetts
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PRESENTED BY:
Cindy F. Friedman
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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 relative to preserving preventive services without cost sharing.
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PETITION OF:
NAME:DISTRICT/ADDRESS :Cindy F. FriedmanFourth Middlesex 1 of 2
SENATE DOCKET, NO. 1471 FILED ON: 1/19/2023
SENATE . . . . . . . . . . . . . . No. 647
By Ms. Friedman, a petition (accompanied by bill, Senate, No. 647) of Cindy F. Friedman for
legislation relative to preserving preventive services without cost sharing. Financial Services.
The Commonwealth of Massachusetts
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In the One Hundred and Ninety-Third General Court
(2023-2024)
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An Act relative to preserving preventive services without cost sharing.
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 176O of the General Laws is hereby amended by adding the
2following section:-
3 Section 30. (a) For a health plan issued on or after January 1, 2025, a carrier, as defined
4by this chapter or subject to chapters 32A or 176J, shall, at a minimum, provide coverage for: (i)
5evidence-based items or services that have a rating of A or B in the recommendations of the
6United States Preventive Services Task Force, with respect to the individual involved; (ii)
7immunizations for routine use in children, adolescents and adults in accordance with the
8recommendations and immunization schedules from the Advisory Committee on Immunization
9Practices and approved by the director of the centers for disease control and prevention, with
10respect to the individual involved; (iii) evidence-informed preventive care and screenings for
11infants, children and adolescents, as described in comprehensive guidelines supported by the
12Health Resources and Services Administration; and (iv) evidence-informed preventive care for
13women, to the extent not described in clause (i) of this subsection; provided, that such coverage 2 of 2
14shall not be subject to any cost-sharing, including co-payments and co-insurance, and shall not
15be subject to any deductible.
16 (b) Nothing in this section shall prohibit a carrier from providing coverage for items and
17services in addition to those recommended by the United States Preventive Services Task Force,
18the Advisory Committee on Immunization Practices, and the Health Resources and Services
19Administration, or denying coverage for items and services that are not recommended.
20 (c) If a recommendation described in subsection (a) is changed during a health plan year,
21a carrier is not required to make changes to that health plan during the plan year.
22 (d) The division shall issue guidance as necessary to implement and enforce this section.
23 SECTION 2. The division of insurance shall issue guidance under section 30 of
24subsection (d) of chapter 176O of the General Laws not later than 90 days after the effective date
25of this act.