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MA S691
Bill
Status
2/27/2025
Primary Sponsor
Brendan Crighton
Click for details
AI Summary
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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)
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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
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Excludes from coverage foods for weight loss, general disease risk reduction, gluten-free foods for celiac disease management, and foods marketed for diabetes management
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Prohibits insurance carriers from requiring referrals or prior authorization for specialty care from immunologists or family practitioners within the carrier's network
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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