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MA H4961

Bill

Status

Introduced

1/28/2026

Primary Sponsor

Joint Committee on Financial Services

Click for details

Origin

House of Representatives

194th General Court

AI Summary

  • Mandates insurance coverage for all medical supplies related to ostomy care and management of surgically created or spontaneous fistulas across Group Insurance Commission, Medicaid, and private insurers

  • Requires acute-care hospitals performing ostomy surgery to employ certified ostomy care specialists and provide outpatient follow-up care with certified professionals

  • Establishes minimum 1-year prescription validity for ostomy supplies and allows physicians to prescribe quantities exceeding standard limits when medically necessary

  • Requires 72-hour transfer of patient ostomy care records when switching insurers, with no delays to supply orders during transitions

  • Prohibits non-medical product switching without 1 month's advance notice and product samples; patients may return to original products if substitutes compromise care quality

Legislative Description

To increase access to healthcare for ostomy patients

Last Action

Reported favorably by committee and referred to the Joint Committee on Health Care Financing

1/28/2026

Committee Referrals

Health Care Financing1/28/2026

Full Bill Text

No bill text available