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Bill > H2972


MA H2972

Relative to pediatric plans of care


summary

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

Introduced Session

190th General Court

Bill Summary

Relative to the maximum allowable number of treatments for certain pediatric care plans. Financial Services.

AI Summary

This bill establishes that children receiving treatment for a disability from a licensed provider or therapist, who have a filed plan of care that exceeds the maximum allowable annual treatment sessions under their insurance plan, shall be granted the maximum allowable number of treatments under the plan of care annually without further authorization from the insurer. The insurer must authorize access to all treatments as filed in the plan of care at the beginning of each calendar year, and the provider or therapist must file quarterly reports with the insurer documenting the ongoing and medically necessary treatment.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

Accompanied a study order, see H4778 (on 07/18/2018)

bill text


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