Loading chat...

MA S691

Bill

Status

Introduced

2/27/2025

Primary Sponsor

Brendan Crighton

Click for details

Origin

Senate

194th General Court

AI Summary

  • Defines "covered disease or condition" to include IgE and non-IgE-mediated food protein allergies, food protein-induced enterocolitis syndrome, and eosinophilic disorders (esophagitis, gastroenteritis, colitis, and post-transplant eosinophilic disorders)

  • Establishes definition of "medically necessary food" to include low protein modified foods, amino acid preparations, modified fat preparations, and nutritional formulas prescribed by a physician for dietary management of covered conditions

  • Excludes from coverage foods for weight loss, general disease risk reduction, gluten-free foods for celiac disease management, and foods marketed for diabetes management

  • Prohibits insurance carriers from requiring referrals or prior authorization for specialty care from immunologists or family practitioners within the carrier's network

  • Prohibits carriers from categorizing prescription coverage as "durable medical equipment" and from applying prescription co-pays and deductibles for medically necessary food

Legislative Description

Ensuring access to healthcare and medically necessary food for children

Last Action

Hearing scheduled for 10/08/2025 from 10:30 AM-02:30 PM in Gardner Auditorium

9/26/2025

Committee Referrals

Financial Services2/27/2025

Full Bill Text

No bill text available