Loading chat...
MA S2599
Bill
Status
7/17/2025
Primary Sponsor
Patrick O'Connor
Click for details
AI Summary
-
Requires health insurers, HMOs, and the Group Insurance Commission to cover medically necessary early intervention treatments for port-wine stains in individuals 18 years of age or younger
-
Covered conditions include nevus flammeus, Sturge-Weber syndrome, and Klippel-Trénaunay syndrome; covered treatments include topical therapies, FDA-approved laser treatments, surgery, and other medical procedures
-
Defines medically necessary treatment as addressing functional impairments (vision, oral function, mobility), medical complications (inflammation, bleeding, infection, hypertrophy), or significant psychosocial distress, particularly in pediatric patients
-
Prohibits insurers from imposing more restrictive deductibles, coinsurance, or treatment limits than those applied to other medically necessary services; excludes purely cosmetic treatments
-
Directs the Center for Health Information and Analysis to review the mandate's impact on health plans and Medicaid, with findings due by January 1, 2026; coverage requirements apply to contracts effective or renewed on or after January 1, 2026
Legislative Description
Providing insurance coverage for the medically necessary treatment of port-wine stains
Last Action
Accompanied a study order, see S2931
1/29/2026