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MA H1128
Bill
Status
2/27/2025
Primary Sponsor
Marjorie Decker
Click for details
AI Summary
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Prohibits health insurance carriers and utilization review organizations from imposing prior authorization, step therapy, or other protocols that restrict or delay dispensing of FDA-approved drugs for serious mental illness
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Applies the same restrictions to MassHealth (Medicaid) and its contracted managed care entities
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Defines "serious mental illness" to include bipolar disorders, childhood/adolescent depression, major depressive disorders, obsessive-compulsive disorders, paranoid and psychotic disorders, schizo-affective disorders, schizophrenia, and PTSD
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Amends both Chapter 176O (commercial insurance regulation) and Chapter 118E (MassHealth) of Massachusetts General Laws
Legislative Description
Preserving access to treatment for patients with serious mental illnesses
Last Action
Accompanied a new draft, see H4892
1/8/2026