Bill
Bill > S689
summary
Introduced
02/16/2023
02/16/2023
In Committee
05/30/2024
05/30/2024
Crossed Over
Passed
Dead
12/31/2024
12/31/2024
Introduced Session
193rd General Court
Bill Summary
For legislation relative to patient access to biomarker testing to provide appropriate therapy. Financial Services.
AI Summary
This bill requires health insurance plans in Massachusetts, including those for state employees, Medicaid, and commercial plans, to cover biomarker testing for the purposes of diagnosis, treatment, management, or monitoring of a patient's disease or condition. Biomarker testing is defined as the analysis of a patient's tissue, blood, or other biospecimen to detect indicators of normal or pathogenic processes, or responses to a specific treatment. Coverage must be provided when the test is supported by medical evidence, such as FDA approvals, Medicare coverage determinations, or nationally recognized clinical guidelines. The bill also sets time limits for insurers to respond to prior authorization requests and provides a process for patients and providers to request exceptions to coverage policies.
Committee Categories
Business and Industry, Health and Social Services
Sponsors (30)
Susan Moran (D)*,
Jay Barrows (R),
Michael Brady (D),
Jo Comerford (D),
Brendan Crighton (D),
John Cronin (D),
Sal DiDomenico (D),
William Driscoll Jr. (D),
Ryan Fattman (R),
Carmine Gentile (D),
Anne Gobi (D),
Vanna Howard (D),
John Keenan (D),
Jack Lewis (D),
Jason Lewis (D),
Joan Lovely (D),
Paul Mark (D),
Liz Miranda (D),
Mike Moore (D),
Brian Murray (D),
Patrick O'Connor (R),
Jake Oliveira (D),
Aaron Saunders (D),
Dan Sena (D),
Mike Soter (R),
Tom Stanley (D),
Bruce Tarr (R),
Walter Timilty (D),
John Velis (D),
Steve Xiarhos (R),
Last Action
Accompanied H1074 (on 06/20/2024)
Bill Topics
Banking, Finance, and Domestic Commerce
- ‐ Insurance Regulation
Health
- ‐ Health Insurance Reform
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location | Created |
|---|---|---|
| State Bill Page | https://malegislature.gov/Bills/193/S689 | 03/11/2023 |
| BillText | https://malegislature.gov/Bills/193/S689.pdf | 03/11/2023 |
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