Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H1286

Introduced
2/27/25  

Caption

Relative to colorectal and breast cancer screenings

Impact

If enacted, H1286 will amend several chapters of the General Laws pertaining to health insurance coverage. This amendment significantly impacts the financial structure of health insurance policies by removing direct costs associated with essential cancer screenings. By doing so, the bill seeks to improve public health outcomes and encourage higher participation rates in preventive health services, as it removes financial disincentives for patients to receive critical screenings. The legislation is expected to benefit a wide demographic, potentially reducing health disparities, particularly among lower-income individuals who may face financial barriers to care.

Summary

House Bill 1286 aims to enhance access to colorectal and breast cancer screenings by prohibiting insurance plans from imposing deductibles or copayments for these services. Specifically, the bill prohibits any out-of-pocket expenses for procedures that a physician orders within a policy year, ensuring that both screening colonoscopies and mammograms can be accessed without additional financial barriers. The bill is poised to make critical health screenings more accessible and affordable for residents, particularly in a state like Massachusetts, where healthcare costs can be significant.

Contention

While the bill is primarily framed as a public health initiative, there are points of contention regarding its financial impact on insurance providers. Opponents may argue that removing deductibles and copayments could lead to increased premiums as providers adjust their pricing structures to offset potential losses in revenue from screenings. Furthermore, there may be debates about the necessity of such measures when insurers could already be incentivized to promote preventive care. As discussions progress, it will be essential to address both health equity concerns and the fiscal sustainability for health insurers to ensure that the bill meets its objectives without unintended consequences.

Companion Bills

No companion bills found.

Similar Bills

CA AB342

Health care coverage: colorectal cancer: screening and testing.

CA AB1986

Health care coverage: colorectal cancer: screening and testing.

CA AB536

Health care coverage: colorectal cancer screening.

IN SB0268

Colorectal cancer screening coverage.

MS HB932

Health insurance policies; require coverage for colorectal cancer screenings.

MS SB2666

Health insurance policies; require coverage of colorectal cancer screening.

CA AB3245

Coverage for colorectal cancer screening.

MA H1117

Relative to colorectal and breast cancer screenings