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Bill > H1208


MA H1208

Relative to ensuring treatment for genetic craniofacial conditions


summary

Introduced
03/29/2021
In Committee
03/30/2022
Crossed Over
Passed
Dead
12/31/2022

Introduced Session

192nd 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 requires health insurance providers in Massachusetts to cover medically necessary functional repair or restoration of craniofacial disorders, such as ectodermal dysplasia, dentinogenesis imperfecta, and amelogenesis imperfecta. The coverage must be provided for active and retired state employees, MassHealth (Medicaid) recipients, and those with individual or group health plans, including HMOs and preferred provider organizations. The coverage cannot be subject to higher deductibles, coinsurance, copayments, or out-of-pocket limits than other benefits provided. The bill excludes coverage for cosmetic surgery or dental/orthodontic treatment unrelated to the congenital condition.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (16)

Last Action

Accompanied S648 (on 06/09/2022)

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