summary
Introduced
01/23/2017
01/23/2017
In Committee
03/12/2018
03/12/2018
Crossed Over
Passed
Dead
12/31/2018
12/31/2018
Introduced Session
190th General Court
Bill Summary
Relative to health care insurance coverage for brain injury treatments. Financial Services.
AI Summary
This bill aims to improve access to brain injury treatment by requiring health insurance coverage for medically necessary treatments related to acquired brain injuries (ABIs). The key provisions include:
1. Defining various terms related to brain injury treatments, such as cognitive rehabilitation therapy, neurobehavioral therapy, and post-acute residential treatment.
2. Mandating that state employee health plans, accident and sickness insurance policies, hospital service plans, and health maintenance organizations provide coverage for medically necessary ABI treatments, including cognitive, neurocognitive, and functional rehabilitation therapies, as well as community reintegration services and post-acute residential treatment.
3. Prohibiting lifetime or unreasonable annual limits on the number of treatment days or sessions, and requiring that the coverage be subject to the same deductibles, coinsurance, and copayments as other benefits.
4. Requiring health insurers to provide adequate training to personnel responsible for preauthorizing or reviewing utilization of ABI treatment services, in consultation with the Brain Injury Association of Massachusetts.
5. Specifying that individual practitioners and treatment facilities must be appropriately licensed, accredited, and experienced to provide acute and post-acute ABI rehabilitation services.
Overall, the bill aims to ensure that individuals with acquired brain injuries have access to the full range of medically necessary treatments to support their recovery and reintegration into the community.
Committee Categories
Business and Industry, Health and Social Services
Sponsors (71)
Brian Ashe (D),
Bruce Ayers (D),
Jay Barrows (R),
Jennifer Benson (D),
Thomas Calter (D),
Kate Campanale (R),
James Cantwell (D),
Tackey Chan (D),
Harriette Chandler (D),
Josh Cutler (D),
Angelo D'Emilia (R),
Marjorie Decker (D),
David DeCoste (R),
Sal DiDomenico (D),
William Driscoll (D),
Peter Durant (R),
James Dwyer (D),
Carolyn Dykema (D),
Jamie Eldridge (D),
Kim Ferguson (R),
Carole Fiola (D),
Paul Frost (R),
Sean Garballey (D),
Colleen Garry (D),
Carmine Gentile (D),
Susan Gifford (R),
Anne Gobi (D),
Solomon Goldstein-Rose (I),
Pat Haddad (D),
Jonathan Hecht (D),
Natalie Higgins (D),
Bradford Hill (R),
Steven Howitt (R),
Dan Hunt (D),
Louis Kafka (D),
Hannah Kane (R),
Kay Khan (D),
Peter Kocot (D),
Jack Lewis (D),
Jason Lewis (D),
David Linsky (D),
Marc Lombardo (R),
Joan Lovely (D),
Paul McMurtry (D),
James Miceli (D),
Matt Muratore (R),
James Murphy (D),
Brian Murray (D),
Harold Naughton (D),
Shaunna O'Connell (R),
Patrick O'Connor (R),
Kathleen O'Connor Ives (D),
Jim O'Day (D),
Keiko Orrall (R),
Sarah Peake (D),
Smitty Pignatelli (D),
Denise Provost (D),
Dave Rogers (D),
John Rogers (D),
Danny Ryan (D),
Paul Schmid (D),
John Scibak (D),
Todd Smola (R),
Walter Timilty (D),
Paul Tucker (D),
Aaron Vega (D),
Dave Vieira (R),
RoseLee Vincent (D),
Chris Walsh (D),
Bud Williams (D),
Jon Zlotnik (D),
Last Action
Accompanied S502 (on 05/31/2018)
Official Document
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/190/H2166 |
| Bill | https://malegislature.gov/Bills/190/H2166.pdf |
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