Bill > H4162

This bill aims to improve healthcare access and coverage for ostomy patients by implementing comprehensive protections across multiple insurance and healthcare sectors in Massachusetts. The legislation requires various healthcare entities, including state insurance programs, hospitals, and private insurance providers, to cover all medical supplies related to ostomy care and fistula management without requiring non-medical supplies. It mandates that healthcare providers transfer patient ostomy care information within 72 hours when a patient changes insurance, ensures that prescriptions for ostomy supplies are valid for at least one year, and allows physicians to prescribe supplies in quantities they deem necessary for patient care. The bill also introduces consumer protections such as requiring suppliers to provide one month's advance notice before changing ostomy supply brands, include product samples when proposing substitutions, and allow patients to return to their original product if the substitute does not meet their needs. Additionally, the legislation requires healthcare payers to reimburse ostomy supply providers at rates no less than Medicare reimbursement rates and mandates that acute-care hospitals employ certified healthcare professionals specializing in ostomy care to provide comprehensive patient support. These provisions are designed to ensure consistent, high-quality care and support for patients who require ostomy supplies.

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https://malegislature.gov/Bills/194/H4162