Bill > H999

This bill requires health insurance plans in Massachusetts to provide coverage for the diagnosis and treatment of Alfi's syndrome, a genetic condition also known as 9p deletion syndrome or monosomy 9p. The key provisions include: - Requiring coverage for various types of care related to Alfi's syndrome, including habilitative/rehabilitative care, pharmacy care, psychiatric care, psychological care, and therapeutic care. - Prohibiting annual or lifetime dollar or service limitations on Alfi's syndrome coverage that are less than those for physical conditions. - Allowing insurers a 3-year exemption from the new coverage requirements if the costs would increase premiums by over 1%. - Specifying that the new requirements apply to state employee health plans, individual/group accident and sickness insurance policies, hospital service plans, medical service agreements, and health maintenance organization contracts. - Requiring the new coverage to take effect for policies issued or renewed on or after January 1, 2020. The goal of the bill is to ensure comprehensive insurance coverage for the diagnosis and treatment of Alfi's syndrome, a rare genetic condition, in order to support affected individuals and their families.

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https://malegislature.gov/Bills/191/H999