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MA H4336
Bill
Status
7/31/2025
Primary Sponsor
Joint Committee on Financial Services
Click for details
AI Summary
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Requires all health insurers in Massachusetts—including the Group Insurance Commission, Medicaid, HMOs, hospital service plans, medical service agreements, and preferred provider organizations—to cover medical, behavioral, and health care services delivered through mobile integrated health care programs approved by the Department of Public Health.
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Prohibits insurers from declining coverage or reducing payment rates solely because services were delivered by a provider participating in an approved mobile integrated health care program rather than in a traditional health care facility.
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Allows insurers to apply deductibles, copayments, or coinsurance to mobile integrated health services, but these cost-sharing amounts cannot exceed what would apply to the same services delivered in a health care facility.
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Exempts mobile integrated health programs focused on behavioral health services from application and registration fees.
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Amends multiple chapters of Massachusetts General Laws (32A, 111O, 118E, 175, 176A, 176B, 176G, and 176I) to ensure consistent coverage requirements across all types of health insurance products in the state.
Legislative Description
Relative to insurance coverage of mobile integrated health
Last Action
Reported favorably by committee and referred to the Joint Committee on Health Care Financing
7/31/2025