summary
Introduced
02/27/2025
02/27/2025
In Committee
02/27/2025
02/27/2025
Crossed Over
Passed
Dead
Introduced Session
194th General Court
Bill Summary
Relative to healthcare insurance coverage for maternal and pediatric health. Financial Services.
AI Summary
This bill requires various health insurance providers in Massachusetts, including the Group Insurance Commission, Medicaid managed care organizations, and private health insurance plans, to provide coverage for a "prenatal pediatric visit" defined as an appointment between a pregnant person and a pediatrician aimed at establishing a positive professional partnership. The bill amends multiple chapters of Massachusetts General Laws to ensure that all types of health insurance plans - including group and individual plans, hospital service plans, medical service agreements, and health maintenance contracts - must cover this specific type of visit. The legislation mandates that insurers include this coverage in their policies and that the state's Medicaid division provide written notice to members about the new benefit. The definition of the prenatal pediatric visit is based on recommendations from the American Academy of Pediatrics, with the goal of supporting early connection between expectant parents and potential pediatric care providers to promote better maternal and child healthcare outcomes.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
Joint Committee on Financial Services Hearing (10:30:00 10/8/2025 Gardner Auditorium) (on 10/08/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://malegislature.gov/Bills/194/H1268 |
| BillText | https://malegislature.gov/Bills/194/H1268.pdf |
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