Bill > S629

This bill aims to ensure access to brain injury treatment by requiring coverage for medically necessary treatment related to or resulting from an acquired brain injury. The key provisions include: 1. Defining various types of brain injury treatment and services, such as cognitive rehabilitation therapy, neurocognitive therapy, and post-acute residential treatment. 2. Mandating that health plans offered by the state's Group Insurance Commission, as well as individual and group accident and sickness insurance policies, hospital service plans, medical service agreements, and health maintenance contracts, provide coverage for these medically necessary brain injury treatments without lifetime or unreasonable annual limitations. 3. Requiring the Commissioner of Insurance to ensure health plan issuers provide adequate training to personnel responsible for authorizing or reviewing coverage for these brain injury services. 4. Specifying that individual practitioners and treatment facilities must possess appropriate licenses, accreditation, and experience to provide acute and post-acute brain injury rehabilitation services. The overall goal of this bill is to improve access to a comprehensive range of evidence-based brain injury treatments and support services for individuals covered by various health plans in Massachusetts.

Budget and Finance, Business and Industry, Health and Social Services

https://malegislature.gov/Bills/192/S629