Bill > S81

This bill requires health insurance plans in Massachusetts to provide coverage for medically necessary treatment related to or resulting from an acquired brain injury (ABI). The key provisions include: 1. Defining various terms related to ABI treatment, such as cognitive rehabilitation therapy, neurobehavioral therapy, and post-acute residential treatment. 2. Mandating that health plans provide coverage for a range of ABI treatments, including inpatient, outpatient, and community-based services, without any lifetime or unreasonable annual limitations. 3. Requiring health plans to provide adequate training to personnel responsible for preauthorization and utilization review for these ABI services, in consultation with the Brain Injury Association of Massachusetts. 4. Specifying that individual practitioners and treatment facilities must be qualified to provide both acute and post-acute ABI rehabilitation services through appropriate licenses, accreditation, training, and experience. The goal of this bill is to ensure that individuals with acquired brain injuries receive the comprehensive, medically necessary treatments and services they require to facilitate their recovery and reintegration into the community.

Health and Social Services

https://malegislature.gov/Bills/193/S81