Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H1258

Introduced
2/27/25  

Caption

Requiring coverage of medically necessary oral and dental care for head and neck cancer survivor

Impact

If enacted, the bill would necessitate alterations in the state’s insurance regulations and applicable health coverage plans. It expands the scope of coverage under existing laws, as it adds new requirements for these plans regarding dental care linked to the treatment of head and neck cancer. Beyond improving survivor outcomes, the bill may also lead to increased insurance premiums or changes in health plan offerings as insurance companies adjust to these new mandatories.

Summary

House Bill H1258 aims to mandate insurance coverage for essential dental care related to head and neck cancers. It requires health plans to provide comprehensive coverage for pre-cancer dental treatments, dental care necessary prior to cancer treatment, and post-cancer dental care to ensure overall oral health and aid recovery. This encompasses ameliorative procedures that would help minimize infections or tooth loss stemming from cancer treatment, highlighting the bill's focus on improving the quality of life for cancer survivors.

Contention

Nevertheless, there exists a potential debate centered around the implications of mandating such extensive coverage for dental care in the health insurance sphere. Critics may argue about the financial strains on insurance providers and the risk of elevated premiums impacting policy accessibility. Moreover, determining what constitutes 'medically necessary' in the realm of dental procedures tied to cancer treatments could lead to discussions on the appropriateness of care and potential misuse of benefits.

Companion Bills

No companion bills found.

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