Bill > H1078

This bill aims to improve access to brain injury treatment by requiring various health insurance plans in Massachusetts to provide coverage for medically necessary treatments related to acquired brain injuries. The key provisions include: 1. Defining various types of brain injury treatments, such as cognitive rehabilitation therapy, neurocognitive therapy, neurofeedback therapy, and post-acute residential treatment, and requiring coverage for these services. 2. Prohibiting lifetime or unreasonable annual limitations on the number of treatment days or sessions. 3. Ensuring that coverage for brain injury treatments is not subject to greater deductibles, coinsurance, copayments, or out-of-pocket limits than other benefits provided by the insurance plans. 4. Requiring insurance providers to provide adequate training to personnel responsible for pre-authorization and utilization review of these services, in consultation with the Brain Injury Association of Massachusetts. 5. Specifying that individual practitioners and treatment facilities must have appropriate licenses, accreditation, training, and experience to provide acute and post-acute brain injury rehabilitation services. The overall goal of this bill is to ensure that individuals with acquired brain injuries have access to the necessary treatments and support services to aid in their recovery and reintegration into their communities.

Business and Industry, Health and Social Services

https://malegislature.gov/Bills/192/H1078