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MA S2599

Bill

Status

Introduced

7/17/2025

Primary Sponsor

Patrick O'Connor

Click for details

Origin

Senate

194th General Court

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-TrĂ©naunay 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

Committee Referrals

Health Care Financing12/4/2025
Financial Services8/11/2025
Rules7/17/2025

Full Bill Text

No bill text available