Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H1223

Introduced
2/27/25  

Caption

To ensure access to scalp and facial hair prostheses for children and adults with alopecia areata

Impact

If passed, Bill H1223 would require that health maintenance organizations and other insurance providers offer coverage for scalp and facial hair prostheses on a nondiscriminatory basis. This means that coverage would need to be provided at least to the same extent as is currently allowed for hair loss due to chemotherapy. The implications of this bill are significant as they align with growing recognition of the importance of mental health and personal appearance in the overall health and well-being of individuals dealing with alopecia.

Summary

House Bill 1223 proposes to ensure access to scalp and facial hair prostheses for individuals suffering from alopecia areata and related conditions. The bill seeks to amend existing laws to require health insurance policies to provide coverage for prosthetic devices due to the medical necessity caused by hair loss resulting from diseases, treatments like chemotherapy, or other injuries. By enacting this law, the bill aims to address not only the physical but also the psychological impacts of hair loss on affected individuals, including children and adults.

Contention

Notably, the bill specifies coverage only for conditions that do not arise from natural or premature aging processes, which could lead to debates regarding the definitions around eligibility for such prostheses. There may be opposition concerning the financial implications for insurance companies and how that might affect all policyholders. Discussions during its session could reveal differing views on regulatory impacts and the question of whether the state should mandate such specific insurance coverage.

Companion Bills

No companion bills found.

Similar Bills

MA H1066

Providing health insurance coverage for scalp and facial hair prosthesis

MA S716

Providing health insurance coverage for scalp and facial hair prostheses

MA S832

Providing health insurance coverage for scalp and facial hair prostheses

CA AB2668

Coverage for cranial prostheses.

MD SB75

Insurance and Maryland Medical Assistance Program – Treatment of Alopecia Areata – Coverage Requirements

CT HB05009

An Act Concerning Wellness Programs And Expansion Of Health Insurance Coverage.

MO SB345

Requires health benefit plans to cover prostheses for hair loss due to cancer treatment

MO SB1046

Requires health benefit plans to cover prostheses for hair loss due to chemotherapy