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MA H1168

Bill

Status

Introduced

2/27/2025

Primary Sponsor

Judith Garcia

Click for details

Origin

House of Representatives

194th General Court

AI Summary

  • 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

  • Covers annual preventive gynecologic exams and any subsequent obstetric or gynecological services deemed medically necessary from those exams

  • Eliminates referral requirements for preventive gynecologic care and menstrual health conditions including abnormal uterine bleeding, dysmenorrhea, and pelvic pain

  • Allows direct access to maternity care without PCP referral

  • 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

Committee Referrals

Health Care Financing10/20/2025
Financial Services2/27/2025

Full Bill Text

No bill text available