Bill > H1315

This bill requires various health insurance providers in Massachusetts to cover pain management methods during intrauterine device (IUD) insertion without cost-sharing for active and retired state employees, Medicaid recipients, and individuals with private health insurance. The covered pain control methods include intravenous sedation, oral sedation, nitrous oxide, local anesthesia, and topical anesthesia, as prescribed by a healthcare provider within their professional scope. The bill mandates that these coverage requirements apply to state group insurance, Medicaid managed care organizations, individual and group accident and sickness insurance policies, hospital service plans, medical service agreements, and health maintenance contracts. Insurance providers are prohibited from imposing unreasonable restrictions or delays in coverage, though they may apply reasonable medical management techniques within FDA-defined method categories. The bill includes an exemption for church-related organizations and requires that these coverage provisions be implemented for all relevant insurance policies delivered, issued, or renewed on or after September 1, 2026, ultimately aiming to reduce potential discomfort and barriers to IUD insertion for patients across various insurance programs.

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https://malegislature.gov/Bills/194/H1315