Bill
Bill > H1074
MA H1074
MA H1074Relative to cancer patient access to biomarker testing to provide appropriate therapy
summary
Introduced
02/16/2023
02/16/2023
In Committee
06/20/2024
06/20/2024
Crossed Over
Passed
Dead
12/31/2024
12/31/2024
Introduced Session
193rd General Court
Bill Summary
Relative to cancer patient access to biomarker testing to provide appropriate therapy. Financial Services.
AI Summary
This bill requires health insurance plans in Massachusetts to provide coverage for biomarker testing, which is the analysis of a patient's tissue, blood, or other biospecimen to identify indicators of normal biological processes, pathogenic processes, or response to therapeutic interventions. The coverage must be provided when the biomarker testing is supported by medical and scientific evidence, such as FDA-approved tests or indications, Medicare coverage determinations, or nationally recognized clinical practice guidelines and consensus statements. The bill also establishes timelines for prior authorization requests and appeals, as well as processes for patients and providers to request exceptions to coverage policies.
Committee Categories
Budget and Finance, Business and Industry, Health and Social Services
Sponsors (78)
Meghan Kilcoyne (D)*,
Jim Arciero (D),
James Arena-Derosa (D),
Shirley Arriaga (D),
Brian Ashe (D),
Bruce Ayers (D),
Christine Barber (D),
Jay Barrows (R),
David Biele (D),
Michael Brady (D),
Dan Cahill (D),
Simon Cataldo (D),
Mike Connolly (D),
Rob Consalvo (D),
John Cronin (D),
Mark Cusack (D),
Josh Cutler (D),
Angelo D'Emilia (R),
Kate Donaghue (D),
Dan Donahue (D),
Paul Donato (D),
William Driscoll Jr. (D),
Michelle DuBois (D),
Pat Duffy (D),
Rodney Elliott (D),
Ryan Fattman (R),
Carole Fiola (D),
Sean Garballey (D),
Judith García (D),
Denise Garlick (D),
Carmine Gentile (D),
Jessica Giannino (D),
Danielle Gregoire (D),
Natalie Higgins (D),
Russell Holmes (D),
Kevin Honan (D),
Vanna Howard (D),
Steven Howitt (R),
Brad Jones (R),
Hannah Kane (R),
Patrick Kearney (D),
Sally Kerans (D),
Kay Khan (D),
Mike Kushmerek (D),
Jack Lewis (D),
Jason Lewis (D),
David Linsky (D),
Joan Lovely (D),
Billy MacGregor (D),
Adrian Madaro (D),
Joe McGonagle (D),
Paul McMurtry (D),
Sam Montaño (D),
John Moran (D),
Brian Murray (D),
Tram Nguyen (D),
Patrick O'Connor (R),
Jake Oliveira (D),
Kelly Pease (R),
Ted Philips (D),
Adrianne Ramos (D),
Dave Rogers (D),
Danny Ryan (D),
Lindsay Sabadosa (D),
Jon Santiago (D),
Aaron Saunders (D),
Margaret Scarsdale (D),
Dan Sena (D),
Mike Soter (R),
Tom Stanley (D),
Bruce Tarr (R),
Walter Timilty (D),
Jeff Turco (D),
Steve Ultrino (D),
Marcus Vaughn (R),
Tommy Vitolo (D),
Steve Xiarhos (R),
Jon Zlotnik (D),
Last Action
No further action taken (on 12/31/2024)
Bill Topics
Health
- ‐ Health Insurance Reform
- ‐ Treatment of Specific Diseases
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/H1074 | 03/13/2023 |
| BillText | https://malegislature.gov/Bills/193/H1074.pdf | 03/13/2023 |
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