Bill > H1204

This bill establishes pregnancy as a new qualifying event for special enrollment in health insurance plans through the state health insurance exchange, which was created under the federal Affordable Care Act (ACA). Specifically, the bill allows pregnant individuals to enroll in a qualified health plan within 30 days of the pregnancy's commencement, provided that the pregnancy is certified by a licensed healthcare provider as defined in Massachusetts law. Once enrolled, the health plan must ensure that coverage becomes effective on the first day of the month when the pregnancy certification is received. This provision is in addition to existing federal qualifying events for special enrollment periods, giving pregnant individuals more flexibility to obtain health insurance coverage. The bill is set to take effect on January 1, 2026, providing a clear timeline for implementation and allowing insurers and the state health insurance exchange time to prepare for the new enrollment option.

Business and Industry

https://malegislature.gov/Bills/194/H1204