Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H1172 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. 4233 FILED ON: 1/17/2025
3	3	HOUSE . . . . . . . . . . . . . . . No. 1172
4	4	The Commonwealth of Massachusetts
5	5	_________________
6	6	PRESENTED BY:
7	7	John R. Gaskey
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 insurance coverage for new treatment.
13	13	_______________
14	14	PETITION OF:
15	15	NAME:DISTRICT/ADDRESS :DATE ADDED:John R. Gaskey2nd Plymouth1/17/2025 1 of 4
16	16	HOUSE DOCKET, NO. 4233 FILED ON: 1/17/2025
17	17	HOUSE . . . . . . . . . . . . . . . No. 1172
18	18	By Representative Gaskey of Carver, a petition (accompanied by bill, House, No. 1172) of John
19	19	R. Gaskey relative to insurance coverage for gender-affirming health care services. Financial
20	20	Services.
21	21	The Commonwealth of Massachusetts
22	22	_______________
23	23	In the One Hundred and Ninety-Fourth General Court
24	24	(2025-2026)
25	25	_______________
26	26	An Act relative to insurance coverage for new treatment.
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 32A of the General Laws, as appearing in the 2024 Official
30	30	2Edition, is hereby amended by inserting after section 17S a new section:-
31	31	3 Section 17T. (a) For the purpose of this section, “detransition-related treatment” shall
32	32	4mean any form of medical, psychological, or psychiatric treatment, including but not limited to
33	33	5mental-health treatment, medical interventions, and surgeries, that stops, reverses, or helps an
34	34	6individual cope with the effects of prior gender-affirming health care services, defined pursuant
35	35	7to Section 1 of Chapter 9A.
36	36	8 (b) Any coverage offered by the commission to an active or retired employee of the
37	37	9commonwealth insured under the group insurance commission that covers gender-affirming
38	38	10health care services, defined pursuant to Section 1 of Chapter 9A, shall provide coverage for
39	39	11detransition-related treatment. The benefits in this section shall not be subject to any greater 2 of 4
40	40	12deductible, coinsurance, copayments or out-of-pocket limits than any other benefit provided by
41	41	13the commission.
42	42	14 SECTION 2: Chapter 118E of the General Laws, as appearing in the 2024 Official
43	43	15Edition, is hereby amended by inserting after section 10Q a new section:-
44	44	16 Section 10R. (a) For the purpose of this section, “detransition-related treatment” shall
45	45	17mean any form of medical, psychological, or psychiatric treatment, including but not limited to
46	46	18mental-health treatment, medical interventions, and surgeries, that stops, reverses, or helps an
47	47	19individual cope with the effects of prior gender-affirming health care services, defined pursuant
48	48	20to Section 1 of Chapter 9A.
49	49	21 (b) The division and its contracted health insurers, health plans, health maintenance
50	50	22organizations, behavioral health management firms and third-party administrators under contract
51	51	23to a Medicaid managed care organization or primary care clinician plan shall provide coverage
52	52	24under all benefit plans that cover gender-affirming health care services, defined pursuant to
53	53	25Section 1 of Chapter 9A, for detransition-related treatments.
54	54	26 SECTION 3. Chapter 175 of the General Laws, as appearing in the 2024 Official Edition,
55	55	27is hereby amended by inserting after section 47UU a new section:-
56	56	28 Section 47VV. (a) For the purpose of this section, “detransition-related treatment” shall
57	57	29mean any form of medical, psychological, or psychiatric treatment, including but not limited to
58	58	30mental-health treatment, medical interventions, and surgeries, that stops, reverses, or helps an
59	59	31individual cope with the effects of prior gender-affirming health care services, defined pursuant
60	60	32to Section 1 of Chapter 9A. 3 of 4
61	61	33 (b) Any policy, contract, agreement, plan or certificate of insurance issued, delivered or
62	62	34renewed within the commonwealth, which is considered creditable coverage under section 1 of
63	63	35chapter 111M, and which covers gender-affirming health care services, defined pursuant to
64	64	36Section 1 of Chapter 9A, shall provide coverage for detransition-related treatment.
65	65	37 SECTION 4. Chapter 176A of the General Laws, as appearing in the 2024 Official
66	66	38Edition, is hereby amended by inserting a new section:-
67	67	39 Section 39. (a) For the purpose of this section, “detransition-related treatment” shall mean
68	68	40any form of medical, psychological, or psychiatric treatment, including but not limited to mental-
69	69	41health treatment, medical interventions, and surgeries, that stops, reverses, or helps an individual
70	70	42cope with the effects of prior gender-affirming health care services, defined pursuant to Section 1
71	71	43of Chapter 9A.
72	72	44 (b) Any contract between a subscriber and the corporation under an individual or group
73	73	45hospital service plan that is delivered, issued or renewed within the commonwealth and that
74	74	46covers gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A, shall
75	75	47provide coverage for detransition-related treatments.
76	76	48 SECTION 5. Chapter 176B of the General Laws, as appearing in the 2024 Official
77	77	49Edition, is hereby amended by inserting a new section:-
78	78	50 Section 26. (a) For the purpose of this section, “detransition-related treatment” shall mean
79	79	51any form of medical, psychological, or psychiatric treatment, including but not limited to mental-
80	80	52health treatment, medical interventions, and surgeries, that stops, reverses, or helps an individual
81	81	53cope with the effects of prior gender-affirming health care services, defined pursuant to Section 1
82	82	54of Chapter 9A. 4 of 4
83	83	55 (b) Any subscription certificate under an individual or group medical service agreement
84	84	56delivered, issued or renewed within the commonwealth that covers gender-affirming health care
85	85	57services, defined pursuant to Section 1 of Chapter 9A, shall provide coverage for detransition-
86	86	58related treatments.
87	87	59 SECTION 6. Chapter 176G of the General Laws, as appearing in the 2024 Official
88	88	60Edition, is hereby amended by inserting a new section:-
89	89	61 Section 34. (a) For the purpose of this section, “detransition-related treatment” shall mean
90	90	62any form of medical, psychological, or psychiatric treatment, including but not limited to mental-
91	91	63health treatment, medical interventions, and surgeries, that stops, reverses, or helps an individual
92	92	64cope with the effects of prior gender-affirming health care services, defined pursuant to Section 1
93	93	65of Chapter 9A.
94	94	66 (b) An individual or group health maintenance contract that is issued or renewed and that
95	95	67covers gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A, shall
96	96	68provide coverage for detransition-related treatments.