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Bill > H1172


MA H1172

MA H1172
Relative to insurance coverage for new treatment


summary

Introduced
02/27/2025
In Committee
02/27/2025
Crossed Over
Passed
Dead

Introduced Session

194th General Court

Bill Summary

Relative to insurance coverage for gender-affirming health care services. Financial Services.

AI Summary

This bill requires various Massachusetts insurance providers and government health programs to cover "detransition-related treatment" whenever they already provide coverage for gender-affirming health care services. The bill defines detransition-related treatment as any medical, psychological, or psychiatric intervention that stops, reverses, or helps an individual cope with the effects of previous gender-affirming care, including mental health treatment, medical procedures, and surgeries. Specifically, the bill amends multiple chapters of Massachusetts law to mandate that the Group Insurance Commission, Medicaid, and various types of health insurance plans (including hospital service plans, medical service agreements, and health maintenance organizations) must provide coverage for such treatments under the same financial terms as other covered services, meaning these treatments cannot be subject to higher deductibles, copayments, or out-of-pocket expenses. By requiring coverage across multiple insurance systems, the bill ensures comprehensive access to detransition-related care for active and retired state employees, Medicaid recipients, and individuals with private insurance in Massachusetts.

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)

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/H1172
BillText https://malegislature.gov/Bills/194/H1172.pdf
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