Bill > H800

This bill mandates that health insurance policies in Massachusetts, including those for state employees and retirees, as well as individual and group accident and sickness insurance, hospital service plans, medical service agreements, and health maintenance contracts, must provide coverage for disease-modifying prescription drugs used to treat multiple sclerosis (MS) if the individual has already been prescribed and is taking that specific medication. This ensures continuity of care by preventing insurers from requiring patients to switch to a different, potentially less effective, MS drug. The bill also specifies that these benefits cannot have higher deductibles, coinsurance, copayments, or out-of-pocket limits compared to other MS disease-modifying prescription drugs offered by the insurer, and this requirement extends to non-group policies as well.