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MA H1309
Bill
Status
2/27/2025
Primary Sponsor
Lindsay Sabadosa
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AI Summary
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Eliminates deductibles for medically appropriate evaluation and management services in outpatient settings, including office-based and hospital-based clinics
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Requires these services to be included in basic benefits packages offered by insurers and third-party administrators
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Division of Insurance will develop guidelines determining which services qualify for deductible-free coverage
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Applies across multiple insurance types by amending Chapters 32A (state employee insurance), 32B (municipal employee insurance), 175 (commercial insurance), 176A (hospital service corporations), 176B (medical service corporations), and 176G (HMOs)
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Exempts plans governed by Federal Internal Revenue Code that would lose tax-exempt status (such as HSA-qualified high-deductible health plans) from the deductible prohibition
Legislative Description
Assuring prompt access to health care
Last Action
Hearing rescheduled to 04/29/2025 from 10:00 AM-01:00 PM in A-2 and Virtual Hearing updated to New End Time
8/28/2025