Bill > S847

This bill requires the Executive Office of Health and Human Services and MassHealth to provide coverage for rapid whole genome sequencing (rWGS) for Medicaid beneficiaries under specific clinical conditions. rWGS is defined as a comprehensive genetic investigation of a patient's entire genome that provides preliminary results within 5 days and final results within 14 days. The coverage is limited to patients 21 years old or younger who are receiving inpatient hospital services in intensive care or high-acuity pediatric units, and who have a complex or acute illness of unknown origin. Eligible patients must meet detailed medical criteria, including having symptoms suggesting a complex genetic condition, such as congenital anomalies, abnormal laboratory tests, refractory seizures, severe muscle weakness, or specific cardiac or diagnostic imaging findings. The genetic data generated will be protected under HIPAA regulations and primarily used to help healthcare professionals diagnose and treat the patient. The Executive Office of Health and Human Services is authorized to take necessary administrative actions to implement the coverage, including creating new regulations, submitting waiver applications to the Centers for Medicare and Medicaid Services, and ensuring federal financial participation. The bill takes effect immediately upon passage.

Health and Social Services

https://malegislature.gov/Bills/194/S847