Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H1204 Latest Draft

Bill / Introduced Version Filed 02/27/2025

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HOUSE DOCKET, NO. 2248       FILED ON: 1/15/2025
HOUSE . . . . . . . . . . . . . . . No. 1204
The Commonwealth of Massachusetts
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PRESENTED BY:
Bradley H. Jones, Jr.
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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 establishing pregnancy as a qualifying event.
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PETITION OF:
NAME:DISTRICT/ADDRESS :DATE ADDED:Bradley H. Jones, Jr.20th Middlesex1/15/2025Kimberly N. Ferguson1st Worcester1/21/2025Paul K. Frost7th Worcester1/31/2025Todd M. Smola1st Hampden3/10/2025Hannah Kane11th Worcester1/28/2025 1 of 2
HOUSE DOCKET, NO. 2248       FILED ON: 1/15/2025
HOUSE . . . . . . . . . . . . . . . No. 1204
By Representative Jones of North Reading, a petition (accompanied by bill, House, No. 1204) of 
Bradley H. Jones, Jr. and others for legislation to establish pregnancy as a qualifying event for 
eligibility for special enrollment in certain health plans in the state health insurance exchange. 
Financial Services.
[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE HOUSE, NO. 1052 OF 2023-2024.]
The Commonwealth of Massachusetts
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In the One Hundred and Ninety-Fourth General Court
(2025-2026)
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An Act establishing pregnancy as a qualifying event.
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. Notwithstanding any general or special law to the contrary, in addition to 
2any qualifying event under federal law, rule, or regulation that makes one eligible for a special 
3enrollment period for enrollment in a qualified health plan in the state health insurance exchange 
4established pursuant to the federal patient protection and affordable care act, the state health 
5insurance exchange shall allow for the enrollment of a pregnant individual within 30 days 
6following the commencement of the pregnancy; provided however, that the pregnancy is 
7certified by a licensed health care provider, as defined in chapter 112 of the General Laws. Upon 
8such enrollment, any qualified health plan in the state health insurance exchange shall ensure that 
9coverage is effective on the first day of the month in which said certification is received.  2 of 2
10 SECTION 2. This act shall take effect on January 1, 2026.