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MA H1168
Bill
Status
2/27/2025
Primary Sponsor
Judith Garcia
Click for details
AI Summary
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Prohibits health insurance carriers from requiring primary care provider referrals or prior authorization for specialty gynecological care from in-network obstetricians, gynecologists, certified nurse-midwives, or family practitioners
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Covers annual preventive gynecologic exams and any subsequent obstetric or gynecological services deemed medically necessary from those exams
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Eliminates referral requirements for preventive gynecologic care and menstrual health conditions including abnormal uterine bleeding, dysmenorrhea, and pelvic pain
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Allows direct access to maternity care without PCP referral
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Permits immediate access to evaluations and treatment for acute or emergency gynecological conditions without prior authorization
Legislative Description
Relative to eliminating the PCP referral requirement for specialty gynecological care
Last Action
Reported favorably by committee and referred to the Joint Committee on Health Care Financing
10/20/2025