An Act relative to step therapy and in vitro fertilization insurance coverage
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed House
- To Governor
- Became Law
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
Bill text
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Sponsors
Official sponsors from legislative records.
2 on record
Primary sponsor
William J. Driscoll Jr.
Cosponsor
William J. Driscoll Jr.
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