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Bill > H1036


MA H1036

Relative to ensuring treatment for genetic craniofacial conditions


summary

Introduced
01/22/2019
In Committee
01/22/2019
Crossed Over
Passed
Dead
12/31/2020

Introduced Session

191st General Court

Bill Summary

For legislation to provide health insurance coverage for certain medically necessary functional repair or restoration of craniofacial disorders. Financial Services.

AI Summary

This bill aims to ensure treatment for genetic craniofacial conditions. It requires health insurance plans in Massachusetts to provide coverage for medically necessary functional repair or restoration of craniofacial disorders, such as ectodermal dysplasia, dentinogenesis imperfecta, and amelogenesis imperfecta. The coverage must include the necessary care and treatment to improve the function or approximate the normal appearance of any abnormal structures caused by congenital disease or anomaly, but excludes cosmetic surgery or dental/orthodontic treatment unrelated to the congenital condition. The benefits provided under this bill cannot be subject to greater deductibles, coinsurance, copayments, or out-of-pocket limits than any other benefit provided by the insurer.

Committee Categories

Business and Industry

Sponsors (36)

Last Action

Accompanied a study order, see H5160 (on 12/01/2020)

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