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MA H4935
Bill
Status
1/22/2026
Primary Sponsor
Joint Committee on Financial Services
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AI Summary
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Authorizes the Commissioner of Public Health to designate contagious and infectious diseases as having "heightened public health importance"
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Eliminates cost sharing (co-payments, coinsurance, deductibles) and utilization review requirements (prior authorization, step therapy) for prevention, diagnosis, or treatment of designated diseases
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Applies to all major insurance types: Group Insurance Commission plans for state employees, MassHealth, commercial insurers, Blue Cross Blue Shield, HMOs, and preferred provider organizations
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Requires the commissioner to maintain a public list of designated diseases, review designations at least annually, and notify relevant agencies and insurers within 30 days of any designation
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Exempts health savings account-compatible plans governed by federal tax code from cost-sharing prohibitions to preserve their tax-exempt status
Legislative Description
To strengthen the control of contagious and infectious diseases in the Commonwealth
Last Action
Reported favorably by committee and referred to the Joint Committee on Health Care Financing
1/22/2026