Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H1268 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	1 of 1
2	2	HOUSE DOCKET, NO. 963 FILED ON: 1/14/2025
3	3	HOUSE . . . . . . . . . . . . . . . No. 1268
4	4	The Commonwealth of Massachusetts
5	5	_________________
6	6	PRESENTED BY:
7	7	John Francis Moran
8	8	_________________
9	9	To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
10	10	Court assembled:
11	11	The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:
12	12	An Act supporting maternal and pediatric health.
13	13	_______________
14	14	PETITION OF:
15	15	NAME:DISTRICT/ADDRESS :DATE ADDED:John Francis Moran9th Suffolk1/14/2025 1 of 3
16	16	HOUSE DOCKET, NO. 963 FILED ON: 1/14/2025
17	17	HOUSE . . . . . . . . . . . . . . . No. 1268
18	18	By Representative Moran of Boston, a petition (accompanied by bill, House, No. 1268) of John
19	19	Francis Moran relative to healthcare insurance coverage for maternal and pediatric health.
20	20	Financial Services.
21	21	The Commonwealth of Massachusetts
22	22	_______________
23	23	In the One Hundred and Ninety-Fourth General Court
24	24	(2025-2026)
25	25	_______________
26	26	An Act supporting maternal and pediatric health.
27	27	Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority
28	28	of the same, as follows:
29	29	1 SECTION 1. Chapter 32A of the General Laws is hereby amended by adding the
30	30	2following section:-
31	31	3 Section 33. Any coverage offered by the commission to an active or retired employee of
32	32	4the commonwealth insured under the group insurance commission shall provide coverage for a
33	33	5prenatal pediatric visit. The term ‘prenatal pediatric visit’ shall mean an appointment between a
34	34	6pregnant person and a pediatrician to provide a foundation on which to build a positive, family-
35	35	7pediatric professional partnership as recommended by the American Academy of Pediatrics.
36	36	8 SECTION 2. Chapter 118E of the General Laws, as appearing in the 2020 Official
37	37	9Edition, is hereby amended by inserting after section 10Q, the following section:-
38	38	10 Section 10R. (a) The division and its contracted health insurers, health plans, health
39	39	11maintenance organizations, behavioral health management firms and third-party administrators
40	40	12under contract to a Medicaid managed care organization or primary care clinician shall provide 2 of 3
41	41	13coverage for a prenatal pediatric visit. The term ‘prenatal pediatric visit’ shall mean an
42	42	14appointment between a pregnant person and a pediatrician to provide a foundation on which to
43	43	15build a positive, family-pediatric professional partnership as recommended by the American
44	44	16Academy of Pediatrics.
45	45	17 (b) The division shall provide notice to its members regarding the coverage required by
46	46	18this section. The notice shall be in writing and prominently positioned in any literature or
47	47	19correspondence sent to members and shall be transmitted to members within calendar year when
48	48	20annual information is made available to members, or in any other mailing or communication to
49	49	21members.
50	50	22 SECTION 3. Chapter 175 of the General Laws is hereby amended by inserting after
51	51	23section 47TT the following section:-
52	52	24 Section 47UU. Any policy, contract, agreement, plan or certificate of insurance issued,
53	53	25delivered or renewed within the commonwealth that provides medical expense coverage shall
54	54	26provide coverage for a prenatal pediatric visit. The term ‘prenatal pediatric visit’ shall mean an
55	55	27appointment between a pregnant person and a pediatrician to provide a foundation on which to
56	56	28build a positive, family-pediatric professional partnership as recommended by the American
57	57	29Academy of Pediatrics.
58	58	30 SECTION 4. Chapter 176A of the General Laws is hereby amended by inserting after
59	59	31section 8UU the following section:-
60	60	32 Section 8VV. A contract between a subscriber and the corporation under an individual or
61	61	33group hospital service plan which is delivered, issued or renewed within the commonwealth shall 3 of 3
62	62	34 provide coverage for a prenatal pediatric visit. The term ‘prenatal pediatric visit’ shall
63	63	35mean an appointment between a pregnant person and a pediatrician to provide a foundation on
64	64	36which to build a positive, family-pediatric professional partnership as recommended by the
65	65	37American Academy of Pediatrics.
66	66	38 SECTION 5. Chapter 176B of the General Laws is hereby amended by inserting after
67	67	39section 4UU the following section:-
68	68	40 Section 4VV. Any subscription certificate under an individual or group medical service
69	69	41agreement delivered, issued or renewed within the commonwealth shall provide coverage for a
70	70	42prenatal pediatric visit. The term ‘prenatal pediatric visit’ shall mean an appointment between a
71	71	43pregnant person and a pediatrician to provide a foundation on which to build a positive, family-
72	72	44pediatric professional partnership as recommended by the American Academy of Pediatrics.
73	73	45 SECTION 6. Chapter 176G of the General Laws is hereby amended by inserting after
74	74	46section 4MM the following section:-
75	75	47 Section 4NN. Any individual or group health maintenance contract shall provide
76	76	48coverage for a prenatal pediatric visit. The term ‘prenatal pediatric visit’ shall mean an
77	77	49appointment between a pregnant person and a pediatrician to provide a foundation on which to
78	78	50build a positive, family-pediatric professional partnership as recommended by the American
79	79	51Academy of Pediatrics.