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