1 of 1 HOUSE DOCKET, NO. 2700 FILED ON: 1/16/2025 HOUSE . . . . . . . . . . . . . . . No. 1190 The Commonwealth of Massachusetts _________________ PRESENTED BY: Natalie M. Higgins _________________ 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 modern family building. _______________ PETITION OF: NAME:DISTRICT/ADDRESS :DATE ADDED:Natalie M. Higgins4th Worcester1/16/2025Lindsay N. Sabadosa1st Hampshire1/21/2025James B. EldridgeMiddlesex and Worcester2/8/2025Jason M. LewisFifth Middlesex2/14/2025 1 of 17 HOUSE DOCKET, NO. 2700 FILED ON: 1/16/2025 HOUSE . . . . . . . . . . . . . . . No. 1190 By Representative Higgins of Leominster, a petition (accompanied by bill, House, No. 1190) of Natalie M. Higgins and others relative to fertility diagnostic care. Financial Services. The Commonwealth of Massachusetts _______________ In the One Hundred and Ninety-Fourth General Court (2025-2026) _______________ An Act relative to modern family building. 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. Section 17T of chapter 32A of the General Laws, as appearing in section 74 2of chapter 140 of the acts of 2024, is hereby amended by inserting after the word "processes”, in 3subsection (b), the following words:- , provided that such storage shall be covered from the date 4of cryopreservation until the individual reaches the age of 35, or for a period of not less than five 5years, whichever is later. 6 SECTION 2. Said chapter 32A is hereby amended by inserting after section 17T the 7following section:- 8 Section 17U. (a) For purposes of this section, the following terms shall have the 9following meanings unless the context clearly requires otherwise: 10 “Fertility diagnostic care”, procedures, products, genetic testing, medications and 11services intended to provide information and counseling about an individual’s fertility, including 12laboratory assessments and imaging studies. 2 of 17 13 “Fertility treatment”, procedures, products, genetic testing, medications and services, 14including but not limited to in vitro fertilization, intended to achieve a pregnancy that results in a 15live birth and that are provided in a manner consistent with established medical practice and 16professional guidelines published by the American Society for Reproductive Medicine, its 17successor organization, or a comparable organization, including preconception care, 18procurement, cryopreservation and storage of gametes, embryos or other reproductive tissue. 19 “Infertility”, any of the following: (i) a licensed physician’s findings, based on a patient’s 20medical, sexual, and reproductive history, age, physical findings, diagnostic testing, or any 21combination of these factors; (ii) the need for medical intervention, including, but not limited to, 22the use of donor gametes or donor embryos in order to achieve a successful pregnancy either as 23an individual or with a partner; or (iii) the inability to establish a pregnancy after regular, 24unprotected sexual intercourse for a period of no more than twelve months for an intended 25gestational parent under the age of 35 and of no more than 6 months for an intended gestational 26parent who is 35 years of age or older, provided that pregnancy resulting in miscarriage or 27stillbirth does not restart said 12-month or 6-month time period, (iv) an individual’s increased 28risk, independently or with the individual’s partner, of transmitting a serious, inheritable genetic 29or chromosomal abnormality to a child; or (v) as otherwise defined by the American Society of 30Reproductive Medicine or its successor organization. 31 (b) The commission shall provide to any active or retired employee of the commonwealth 32who is insured under the group insurance commission coverage, to the same extent that benefits 33are provided for other pregnancy-related procedures, coverage for fertility diagnostic care and 34fertility treatment for individuals residing within the commonwealth diagnosed with infertility as 35defined in subsection (a), performed by any licensed medical providers acting within the scope 3 of 17 36of practice for their profession, including physicians, nurse practitioners, certified nurse- 37midwives and licensed certified professional midwives. No conditions, including but not limited 38to prior treatment, age, sexual orientation, gender identity or familial status, shall be imposed to 39receive benefits under this section. 40 (c) A policy that provides coverage for services required under this section shall cover: (i) 41no fewer than four completed oocyte retrievals; (ii) unlimited embryo transfers from retrievals 42covered under this section or from any other completed oocyte retrieval; (iii) unlimited cycles of 43intrauterine insemination; and (iv) unlimited intracervical insemination. No policy shall be 44required to provide coverage for any nonmedical costs relating to the procurement of gametes, 45donor embryos, or surrogacy services. 46 (d) Said coverage may not include any of the following: (i) any exclusion, limitation or 47other restriction on coverage of fertility medications that are different from those imposed on 48other prescription medications; (ii) any exclusion or denial of coverage of any fertility treatment 49based on a covered individual’s participation in fertility services provided by a third party, 50including gestational carriers, surrogates and the donation or use of said thirty party’s genetic 51material; and (iii) any deductible, copayment, coinsurance, benefit maximum or other limitation 52on coverage for services rendered pursuant to this section that are different from those imposed 53upon services not relating to infertility or fertility treatment. 54 SECTION 3. Chapter 112 of the General Laws is hereby amended by inserting after 55section 5O the following section:- 56 Section 5P. (a) The bureau of health professions licensure shall, in collaboration with 57experts in lesbian, gay, bisexual, transgender and queer, hereinafter LGBTQ, family building, 4 of 17 58and in coordination with the American Society for Reproductive Medicine or the Society for 59Assisted Reproductive Technology, develop or provide for, and make available to the board of 60registration in medicine, the board of registration in midwifery, the board of registration in 61nursing and any clinical laboratories licensed under 105 CMR 140.000 that collects, stores or 62distributes any genetic material for fertility treatment a professional development training 63module regarding resources and services available to LGBTQ couples seeking to expand their 64families. The goal of the training module shall be to encourage physicians to speak with their 65patients, and to increase a physician's competency in having effective discussions with patients 66and families in an appropriate manner. The training module shall include information on: (i) the 67prevention and elimination of discrimination based on sexual orientation, gender identity and 68expression in medical settings; (ii) improving access to services for LGBTQ individuals; and (iii) 69options for LGBTQ individuals seeking to start or grow their family. 70 (b) The training module developed shall be accepted by the board of registration in 71medicine, the board of registration in midwifery and the board of registration in nursing as up to 722 continuing professional development credits. 73 SECTION 4. Chapter 118E of the General Laws is hereby amended by inserting after 74section 10A1/2 the following section:- 75 Section 10AA. The division shall provide coverage for fertility diagnostic care, any 76medically necessary ovulation-enhancing drugs and medical services related to prescribing and 77monitoring the use of ovulation-enhancing drugs, and intrauterine insemination that is intended 78to treat infertility and achieve a pregnancy that results in a live birth that includes at least 3 5 of 17 79cycles of ovulation-enhancing medication treatment over a medical assistance recipient’s 80lifetime. 81 SECTION 5. Chapter 175 of the General Laws is hereby amended by striking out section 8247H, as appearing in the 2022 Official Edition, and inserting in place thereof the following 83section:- 84 Section 47H. (a) For purposes of this section, the following terms shall have the 85following meanings unless the context clearly requires otherwise: 86 “Fertility diagnostic care”, procedures, products, genetic testing, medications and 87services intended to provide information and counseling about an individual’s fertility, including 88laboratory assessments and imaging studies. 89 “Fertility treatment”, procedures, products, genetic testing, medications and services, 90including but not limited to in vitro fertilization, intended to achieve a pregnancy that results in a 91live birth and that are provided in a manner consistent with established medical practice and 92professional guidelines published by the American Society for Reproductive Medicine, its 93successor organization, or a comparable organization, including preconception care, 94procurement, cryopreservation and storage of gametes, embryos or other reproductive tissue. 95 “Infertility”, any of the following: (i) a licensed physician’s findings, based on a patient’s 96medical, sexual, and reproductive history, age, physical findings, diagnostic testing, or any 97combination of these factors; (ii) the need for medical intervention, including, but not limited to, 98the use of donor gametes or donor embryos in order to achieve a successful pregnancy either as 99an individual or with a partner; or (iii) the inability to establish a pregnancy after regular, 100unprotected sexual intercourse for a period of no more than twelve months for an intended 6 of 17 101gestational parent under the age of 35 and of no more than 6 months for an intended gestational 102parent who is 35 years of age or older, provided that pregnancy resulting in miscarriage or 103stillbirth does not restart said 12-month or 6-month time period, (iv) an individual’s increased 104risk, independently or with the individual’s partner, of transmitting a serious, inheritable genetic 105or chromosomal abnormality to a child; or (v) as otherwise defined by the American Society of 106Reproductive Medicine or its successor organization. 107 (b) Any blanket or general policy of insurance, except a blanket or general policy of 108insurance which provides supplemental coverage to medicare or other governmental programs, 109described in subsections (a), (c) or (d) of section 110 that provides hospital expense or surgical 110expense insurance that includes pregnancy-related benefits and is issued or subsequently 111renewed by agreement between the insurer and the policyholder, within or without the 112commonwealth, while this provision is effective, or any policy of accident and sickness 113insurance as described in section one hundred and eight that provides hospital expense or 114surgical expense insurance that includes pregnancy-related benefits and is delivered or issued for 115delivery or subsequently renewed by agreement between the insurer and the policyholder in the 116commonwealth while this provision is effective, or any employees' health and welfare fund that 117provides hospital expense and surgical expense benefits that includes pregnancy-related benefits 118and is promulgated or renewed to any person or group of persons in the commonwealth while 119this provision is effective shall provide, to the same extent that benefits are provided for other 120pregnancy-related procedures, coverage for fertility diagnostic care and fertility treatment for 121individuals residing within the commonwealth diagnosed with infertility as defined in subsection 122(a), performed by any licensed medical providers acting within the scope of practice for their 7 of 17 123profession, including physicians, nurse practitioners, certified nurse-midwives and licensed 124certified professional midwives. 125 (c) A policy that provides coverage for services required under this section shall cover: (i) 126no fewer than four completed oocyte retrievals; (ii) unlimited embryo transfers from retrievals 127covered under this section or from any other completed oocyte retrieval; (iii) unlimited cycles of 128intrauterine insemination; and (iv) unlimited intracervical insemination. No policy shall be 129required to provide coverage for any nonmedical costs relating to the procurement of gametes, 130donor embryos, or surrogacy services. 131 (d) Said coverage may not include any of the following: (i) any exclusion, limitation or 132other restriction on coverage of fertility medications that are different from those imposed on 133other prescription medications; (ii) any exclusion or denial of coverage of any fertility treatment 134based on a covered individual’s participation in fertility services provided by a third party, 135including gestational carriers, surrogates and the donation or use of said thirty party’s genetic 136material; and (iii) any deductible, copayment, coinsurance, benefit maximum or other limitation 137on coverage for services rendered pursuant to this section that are different from those imposed 138upon services not relating to infertility or fertility treatment. 139 SECTION 6. Section 47VV of said chapter 175, as appearing in section 145 of chapter 140140 of the acts of 2024, is hereby amended by inserting after the word “tissue”, in subsection (b), 141the following words:- , provided that coverage for such storage shall extend until the individual 142reaches the age of 35, or for a period of 5 years, whichever is later 143 SECTION 7. Chapter 176A of the General Laws is hereby amended by striking section 1448K, as appearing in the 2022 Official Edition, and inserting in place thereof the following:- 8 of 17 145 Section 8K. (a) For purposes of this section, the following terms shall have the following 146meanings unless the context clearly requires otherwise: 147 “Fertility diagnostic care”, procedures, products, genetic testing, medications and 148services intended to provide information and counseling about an individual’s fertility, including 149laboratory assessments and imaging studies. 150 “Fertility treatment”, procedures, products, genetic testing, medications and services, 151including but not limited to in vitro fertilization, intended to achieve a pregnancy that results in a 152live birth and that are provided in a manner consistent with established medical practice and 153professional guidelines published by the American Society for Reproductive Medicine, its 154successor organization, or a comparable organization, including preconception care, 155procurement, cryopreservation and storage of gametes, embryos or other reproductive tissue. 156 “Infertility”, any of the following: (i) a licensed physician’s findings, based on a patient’s 157medical, sexual, and reproductive history, age, physical findings, diagnostic testing, or any 158combination of these factors; (ii) the need for medical intervention, including, but not limited to, 159the use of donor gametes or donor embryos in order to achieve a successful pregnancy either as 160an individual or with a partner; or (iii) the inability to establish a pregnancy after regular, 161unprotected sexual intercourse for a period of no more than twelve months for an intended 162gestational parent under the age of 35 and of no more than 6 months for an intended gestational 163parent who is 35 years of age or older, provided that pregnancy resulting in miscarriage or 164stillbirth does not restart said 12-month or 6-month time period, (iv) an individual’s increased 165risk, independently or with the individual’s partner, of transmitting a serious, inheritable genetic 9 of 17 166or chromosomal abnormality to a child; or (v) as otherwise defined by the American Society of 167Reproductive Medicine or its successor organization. 168 (b) Any contract, except contracts providing supplemental coverage to medicare or other 169governmental programs, between a subscriber and the corporation under an individual or group 170hospital service plan which is delivered, issued for delivery or renewed in the commonwealth 171while this provision is effective and that provides pregnancy-related benefits shall provide as a 172benefit for all individual subscribers or members within the commonwealth and all group 173members having a principal place of employment within the commonwealth, to the same extent 174that benefits are provided for other pregnancy-related procedures, coverage for fertility 175diagnostic care and fertility treatment for individuals residing within the commonwealth 176diagnosed with infertility as defined in subsection (a), performed by any licensed medical 177providers acting within the scope of practice for their profession, including physicians, nurse 178practitioners, certified nurse-midwives and licensed certified professional midwives. 179 (c) A policy that provides coverage for services required under this section shall cover: (i) 180no fewer than four completed oocyte retrievals; (ii) unlimited embryo transfers from retrievals 181covered under this section or from any other completed oocyte retrieval; (iii) unlimited cycles of 182intrauterine insemination; and (iv) unlimited intracervical insemination. No policy shall be 183required to provide coverage for any nonmedical costs relating to the procurement of gametes, 184donor embryos, or surrogacy services. 185 (d) Said coverage may not include any of the following: (i) any exclusion, limitation or 186other restriction on coverage of fertility medications that are different from those imposed on 187other prescription medications; (ii) any exclusion or denial of coverage of any fertility treatment 10 of 17 188based on a covered individual’s participation in fertility services provided by a third party, 189including gestational carriers, surrogates and the donation or use of said thirty party’s genetic 190material; and (iii) any deductible, copayment, coinsurance, benefit maximum or other limitation 191on coverage for services rendered pursuant to this section that are different from those imposed 192upon services not relating to infertility or fertility treatment. 193 SECTION 8. Section 8WW of said chapter 176A, as appearing in section 148 of chapter 194140 of the acts of 2024, is hereby amended by inserting after the word “tissue”, in subsection (b), 195the following words:- , provided that coverage for such storage shall extend until the individual 196reaches the age of 35, or for a period of 5 years, whichever is later 197 SECTION 9. Chapter 176B of the General Laws is hereby amended by striking out 198section 4J, as appearing in the 2022 Official Edition, and inserting in place thereof the following 199new section:- 200 Section 4J. (a) For purposes of this section, the following terms shall have the following 201meanings unless the context clearly requires otherwise: 202 “Fertility diagnostic care”, procedures, products, genetic testing, medications and 203services intended to provide information and counseling about an individual’s fertility, including 204laboratory assessments and imaging studies. 205 “Fertility treatment”, procedures, products, genetic testing, medications and services, 206including but not limited to in vitro fertilization, intended to achieve a pregnancy that results in a 207live birth and that are provided in a manner consistent with established medical practice and 208professional guidelines published by the American Society for Reproductive Medicine, its 11 of 17 209successor organization, or a comparable organization, including preconception care, 210procurement, cryopreservation and storage of gametes, embryos or other reproductive tissue. 211 “Infertility”, any of the following: (i) a licensed physician’s findings, based on a patient’s 212medical, sexual, and reproductive history, age, physical findings, diagnostic testing, or any 213combination of these factors; (ii) the need for medical intervention, including, but not limited to, 214the use of donor gametes or donor embryos in order to achieve a successful pregnancy either as 215an individual or with a partner; or (iii) the inability to establish a pregnancy after regular, 216unprotected sexual intercourse for a period of no more than twelve months for an intended 217gestational parent under the age of 35 and of no more than 6 months for an intended gestational 218parent who is 35 years of age or older, provided that pregnancy resulting in miscarriage or 219stillbirth does not restart said 12-month or 6-month time period, (iv) an individual’s increased 220risk, independently or with the individual’s partner, of transmitting a serious, inheritable genetic 221or chromosomal abnormality to a child; or (v) as otherwise defined by the American Society of 222Reproductive Medicine or its successor organization. 223 (b) Any subscription certificate under an individual or group medical service agreement, 224except certificates which provide supplemental coverage to medicare or other governmental 225programs, which is delivered, issued for delivery or renewed in the commonwealth while this 226section is effective shall provide as a benefit for all individual subscribers or members within the 227commonwealth and all group members having a principal place of employment within the 228commonwealth, to the same extent that benefits are provided for other pregnancy-related 229procedures and subject to the other terms and conditions of the subscription certificate, coverage 230for fertility diagnostic care and fertility treatment for individuals residing within the 231commonwealth diagnosed with infertility as defined in subsection (a), performed by any licensed 12 of 17 232medical providers acting within the scope of practice for their profession, including physicians, 233nurse practitioners, certified nurse-midwives and licensed certified professional midwives. 234 (c) A policy that provides coverage for services required under this section shall cover: (i) 235no fewer than four completed oocyte retrievals; (ii) unlimited embryo transfers from retrievals 236covered under this section or from any other completed oocyte retrieval; (iii) unlimited cycles of 237intrauterine insemination; and (iv) unlimited intracervical insemination. No policy shall be 238required to provide coverage for any nonmedical costs relating to the procurement of gametes, 239donor embryos, or surrogacy services. 240 (d) Said coverage may not include any of the following: (i) any exclusion, limitation or 241other restriction on coverage of fertility medications that are different from those imposed on 242other prescription medications; (ii) any exclusion or denial of coverage of any fertility treatment 243based on a covered individual’s participation in fertility services provided by a third party, 244including gestational carriers, surrogates and the donation or use of said thirty party’s genetic 245material; and (iii) any deductible, copayment, coinsurance, benefit maximum or other limitation 246on coverage for services rendered pursuant to this section that are different from those imposed 247upon services not relating to infertility or fertility treatment. 248 SECTION 10. Section 4WW of said chapter 176B, as appearing in section 149 of chapter 249140 of the acts of 2024, is hereby amended by inserting after the word “tissue”, in subsection (b), 250the following words:- , provided that coverage for such storage shall extend until the individual 251reaches the age of 35, or for a period of 5 years, whichever is later 252 SECTION 11. (a) The office of health equity shall investigate, analyze and study the 253affordability, accessibility and practicality of the resources and services available to lesbian, gay, 13 of 17 254bisexual, transgender and queer, hereinafter LGBTQ, individuals and couples seeking to expand 255their families and to make recommendations to improve access to benefits and services where 256necessary. The office shall: (i) examine availability of assisted reproduction providers in rural 257and geographically isolated areas; (ii) assess the funding and programming needed to enhance 258services to the growing population LGBTQ parents; (iii) examine the feasibility of developing 259statewide training curricula to improve provider competency in the delivery of health and social 260support services to LGBTQ parents; (iv) examine the extent to which out-of-pocket cost 261associated with becoming a parent is impacted by sexual orientation and gender identity; (v) 262examine policies and practices used by cryobanks related to known donors for non-traditional 263families and LGBTQ donors; (vi) recommend best practices for increasing access to services and 264eliminating disparities; (vii) make recommendations to improve resources available to LGBTQ 265individuals relative to parentage, including but not limited to adoption, surrogacy and assistive 266reproductive technology; and (viii) make recommendations relative to education for providers of 267care and services to increase cultural competency and referrals to relevant resources. 268 (b) The office, in formulating its recommendations, shall take into account the best 269policies and practices in other states and jurisdictions. The office may consult experts, hold 270regular public meetings, fact-finding hearings and other public forums as it considers necessary. 271 (c) The study may be conducted by an entity with a demonstrated capacity to deliver 272research results passing an academic peer-review process in analyzing both quantitative and 273qualitative data and to communicate study results in an accessible manner. 274 (d) The office shall receive data to complete the charge of this study under memorandums 275of understanding with the center for health information and analysis established under chapter 14 of 17 27612C of the General Laws, the group insurance commission established under chapter 32A of the 277General Laws and MassHealth established under chapter 118E of the General Laws, 278respectively. 279 (e) The office shall submit the findings of the study to clerks of the senate and house of 280representatives, the joint committee on public health, the joint committee on health care 281financing, the joint committee on children, youth, and families and the house and senate 282committees on ways and means not later than December 31, 2026. 283 SECTION 12. Section 4OO of chapter 176G, as appearing in section 150 of chapter 140 284of the acts of 2024, is hereby amended by inserting after the word “tissue”, in subsection (b), the 285following words:- , provided that coverage for such storage shall extend until the individual 286reaches the age of 35, or for a period of 5 years, whichever is later 287 SECTION 13. Chapter 176G of the General Laws is hereby amended by inserting after 288section 4OO the following section:- 289 Section 4PP. (a) For purposes of this section, the following terms shall have the following 290meanings unless the context clearly requires otherwise: 291 “Fertility diagnostic care”, procedures, products, genetic testing, medications and 292services intended to provide information and counseling about an individual’s fertility, including 293laboratory assessments and imaging studies. 294 “Fertility treatment”, procedures, products, genetic testing, medications and services, 295including but not limited to in vitro fertilization, intended to achieve a pregnancy that results in a 296live birth and that are provided in a manner consistent with established medical practice and 15 of 17 297professional guidelines published by the American Society for Reproductive Medicine, its 298successor organization, or a comparable organization, including preconception care, 299procurement, cryopreservation and storage of gametes, embryos or other reproductive tissue. 300 “Infertility”, any of the following: (i) a licensed physician’s findings, based on a patient’s 301medical, sexual, and reproductive history, age, physical findings, diagnostic testing, or any 302combination of these factors; (ii) the need for medical intervention, including, but not limited to, 303the use of donor gametes or donor embryos in order to achieve a successful pregnancy either as 304an individual or with a partner; or (iii) the inability to establish a pregnancy after regular, 305unprotected sexual intercourse for a period of no more than twelve months for an intended 306gestational parent under the age of 35 and of no more than 6 months for an intended gestational 307parent who is 35 years of age or older, provided that pregnancy resulting in miscarriage or 308stillbirth does not restart said 12-month or 6-month time period, (iv) an individual’s increased 309risk, independently or with the individual’s partner, of transmitting a serious, inheritable genetic 310or chromosomal abnormality to a child; or (v) as otherwise defined by the American Society of 311Reproductive Medicine or its successor organization. 312 (b) Any health maintenance contract shall provide, to the same extent that benefits are 313provided for other pregnancy-related procedures and subject to the other terms and conditions of 314the subscription certificate, coverage for fertility diagnostic care and fertility treatment for 315individuals residing within the commonwealth diagnosed with infertility as defined in subsection 316(a), performed by any licensed medical providers acting within the scope of practice for their 317profession, including physicians, nurse practitioners, certified nurse-midwives and licensed 318certified professional midwives. 16 of 17 319 (c) A policy that provides coverage for services required under this section shall cover: (i) 320no fewer than four completed oocyte retrievals; (ii) unlimited embryo transfers from retrievals 321covered under this section or from any other completed oocyte retrieval; (iii) unlimited cycles of 322intrauterine insemination; and (iv) unlimited intracervical insemination. No policy shall be 323required to provide coverage for any nonmedical costs relating to the procurement of gametes, 324donor embryos, or surrogacy services. 325 (d) Said coverage may not include any of the following: (i) any exclusion, limitation or 326other restriction on coverage of fertility medications that are different from those imposed on 327other prescription medications; (ii) any exclusion or denial of coverage of any fertility treatment 328based on a covered individual’s participation in fertility services provided by a third party, 329including gestational carriers, surrogates and the donation or use of said thirty party’s genetic 330material; and (iii) any deductible, copayment, coinsurance, benefit maximum or other limitation 331on coverage for services rendered pursuant to this section that are different from those imposed 332upon services not relating to infertility or fertility treatment. 333 SECTION 14. Section 17U of chapter 32A shall take effect one year following enactment 334of the legislation. 335 SECTION 15. The training curriculum established pursuant to section 5P of chapter 112 336of the General Laws shall be completed within 9 months of enactment of the legislation. 337 SECTION 16. Section 10AA of chapter 118E shall take effect one year following 338enactment of the legislation. 339 SECTION 16. Section 47H of chapter 175 shall take effect one year following enactment 340of the legislation. 17 of 17 341 SECTION 17. Section 8K of chapter 176A shall take effect one year following enactment 342of the legislation. 343 SECTION 18. Section 4J of chapter 176B shall take effect one year following enactment 344of the legislation. 345 SECTION 18. Section 4PP of chapter 176G shall take effect one year following 346enactment of the legislation.