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Bill > H3969


MA H3969

Providing insurance coverage for Alfi’s syndrome


summary

Introduced
08/03/2017
In Committee
10/19/2017
Crossed Over
Passed
Dead
12/31/2018

Introduced Session

190th General Court

Bill Summary

Relative to insurance coverage for Alfi’s syndrome. Financial Services.

AI Summary

This bill requires health insurance plans in Massachusetts to provide coverage for the diagnosis and treatment of Alfi's syndrome, a genetic condition also known as 9p deletion syndrome or monosomy 9p. The bill defines the types of care that must be covered, including habilitative or rehabilitative care, pharmacy care, psychiatric care, psychological care, and therapeutic care. It also prohibits annual or lifetime dollar or unit of service limitations on this coverage that are less than those imposed on coverage for physical conditions. Insurers may be exempt from the habilitative or rehabilitative care requirement for up to 3 years if they can demonstrate that the costs would lead to a premium increase of more than 1%. The bill takes effect on January 1, 2018.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

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

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