S728
An Act relative to step therapy and in vitro fertilization insurance coverage
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- Passed Senate
- Passed House
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Bill overview
This bill addresses insurance coverage for both step therapy and in vitro fertilization (IVF). Step therapy refers to requiring patients to try less expensive treatments before moving to more expensive ones, and this bill aims to provide greater clarity and protections for patients undergoing step therapy. The bill also seeks to ensure that insurance plans cover IVF treatments for Massachusetts residents.
Key provisions
- Requires insurance companies to provide clear and transparent explanations of step therapy requirements to patients.
- Establishes guidelines for when step therapy is appropriate and limits its use.
- Mandates that insurance plans cover IVF treatments for qualified individuals.
- Addresses potential barriers to accessing IVF services.
- Requires insurers to provide coverage for medications related to IVF treatments.
- Promotes equitable access to both step therapy and IVF coverage.
- Establishes a process for patients to appeal decisions related to step therapy.
Who is affected
- Individuals seeking medical treatment covered by Massachusetts health insurance plans.
- Health insurance companies operating in Massachusetts.
- Patients undergoing step therapy.
- Individuals seeking or considering in vitro fertilization.
- Healthcare providers
Notable changes
- Clarifies the rules surrounding step therapy, potentially limiting its application.
Sponsors
Official sponsors from legislative records.
Primary sponsor
Jr. William J. Driscoll
Cosponsor
Jr. William J. Driscoll
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Bill S.728 194th (Current)
An Act relative to step therapy and in vitro fertilization insurance coverage
By Mr. Driscoll, a petition (accompanied by bill, Senate, No. 728) of William J. Driscoll, Jr. relative to step therapy and in vitro fertilization insurance coverage. Financial Services.
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Bill Information
Bill Information
Presenter: William J. Driscoll, Jr.
Tabs
Bill History Petitioners Committee Vote Committee Summary Primary Sponsor Summary
Bill History
Displaying 9 actions for Bill S.728
| Date | Branch | Action |
| 2/27/2025 | Senate | Referred to the committee on Financial Services |
| 2/27/2025 | House | House concurred |
| 9/19/2025 | Joint | Hearing scheduled for 10/01/2025 from 10:30 AM-01:00 PM in B-2 |
| 9/25/2025 | Joint | Hearing rescheduled to 10/01/2025 from 10:30 AM-01:00 PM in A-1 and Virtual Hearing location changed |
| 9/29/2025 | Joint | Hearing rescheduled to 10/01/2025 from 10:30 AM-01:00 PM in B-1 and Virtual Hearing location changed |
| 10/1/2025 | Joint | Hearing rescheduled to 10/01/2025 from 10:30 AM-11:20 PM in B-1 and Virtual Hearing updated to New End Time |
| 10/1/2025 | Joint | Hearing scheduled for 10/01/2025 from 10:30 AM-01:00 PM in B-1 |
| 12/15/2025 | Senate | Bill reported favorably by committee and referred to the committee on Health Care Financing |
| 1/29/2026 | Senate | Accompanied a study order, see S2931 |
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