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