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MA H4961
Bill
Status
1/28/2026
Primary Sponsor
Joint Committee on Financial Services
Click for details
AI Summary
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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
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Requires acute-care hospitals performing ostomy surgery to employ certified ostomy care specialists and provide outpatient follow-up care with certified professionals
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Establishes minimum 1-year prescription validity for ostomy supplies and allows physicians to prescribe quantities exceeding standard limits when medically necessary
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Requires 72-hour transfer of patient ostomy care records when switching insurers, with no delays to supply orders during transitions
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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