MA H4957

Requires all health insurance plans in Massachusetts to cover pain control methods during intrauterine device (IUD) insertion, including intravenous sedation, oral sedation, nitrous oxide, local anesthesia, and topical anesthesia as prescribed by a provider

Eliminates cost-sharing requirements (deductibles, copayments, coinsurance) for IUD pain management coverage, with limited exceptions for certain high-deductible health plans and federal law requirements

Applies to multiple insurance types: Group Insurance Commission plans for state employees, MassHealth/Medicaid plans, individual and group accident/sickness policies, hospital service plans, medical service agreements, and health maintenance organizations

Exempts churches and qualified church-controlled organizations from the coverage mandate at the employer's request, provided they give written notice to prospective enrollees listing excluded contraceptive services

Extends coverage benefits to enrollees' covered spouses and dependents, and prohibits unreasonable restrictions or delays while permitting reasonable medical management within FDA-defined method categories