Bill > H1039

This bill requires insurance policies in Massachusetts to provide coverage for the diagnosis and treatment of Alfi's syndrome, a genetic condition also known as 9p deletion syndrome or monosomy 9p. The bill defines Alfi's syndrome and the types of care that must be covered, including habilitative or rehabilitative care, pharmacy care, psychiatric care, psychological care, and therapeutic care. Insurers may be exempt from the requirement to cover certain habilitative or rehabilitative care for up to 3 years if they can demonstrate that the costs would lead to a significant premium increase. The bill also specifies that coverage for Alfi's syndrome cannot be subject to annual or lifetime dollar or visit limits that are less than those for physical conditions, and that it does not affect obligations to provide services under other plans like individualized education programs.

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https://malegislature.gov/Bills/193/H1039