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Bill > H581


MA H581

Relative to ensuring treatment for genetic craniofacial conditions


summary

Introduced
01/23/2017
In Committee
05/24/2018
Crossed Over
Passed
Dead
12/31/2018

Introduced Session

190th General Court

Bill Summary

For legislation to provide health insurance coverage for certain medically necessary functional repair or restoration of craniofacial disorders. Financial Services.

AI Summary

This bill requires health insurance providers in Massachusetts to cover medically necessary functional repair or restoration of craniofacial disorders, including conditions like ectodermal dysplasia, dentinogenesis imperfecta, and amelogenesis imperfecta. The coverage cannot include cosmetic surgery or dental/orthodontic treatment unrelated to the congenital condition. The benefits provided under this bill cannot have higher deductibles, coinsurance, copayments, or out-of-pocket limits than other benefits offered by the insurer. This requirement applies to all health insurance policies, contracts, and certificates issued or renewed in the state, except those that solely provide dental or vision coverage.

Committee Categories

Budget and Finance, Business and Industry, Health and Social Services

Sponsors (16)

Last Action

No further action taken (on 01/01/2019)

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