An Act relative to cognitive rehabilitation for individuals with an acquired brain injury
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed House
- Passed Senate
- To Governor
- Became Law
Overview
This bill aims to improve access to cognitive rehabilitation services for individuals who have sustained an acquired brain injury (ABI). It expands coverage for treatments like cognitive rehabilitation therapy, neurocognitive therapy, and community reintegration services under health insurance plans. The bill also establishes requirements for training healthcare professionals involved in preauthorization and utilization review for these services, ensuring qualified practitioners and facilities are involved in providing care.
Key provisions
- Defines key terms related to brain injury and rehabilitation therapies (ABI, cognitive communication therapy, CRT, community reintegration services, etc.).
- Requires health benefit plans to cover medically necessary treatment related to or as a result of an acquired brain injury, including a range of therapies.
- Mandates training for insurance plan personnel on preauthorization and utilization review for ABI-related services, in consultation with the Brain Injury Association of Massachusetts.
- Establishes standards for qualified practitioners and treatment facilities providing acute and post-acute care rehabilitation services.
- Expands coverage to include post-acute residential treatment services.
- Prohibits lifetime or annual limitations on treatment services.
- Allows treatment services to be provided outside of a hospital setting.
- Clarifies that benefits are not subject to greater deductibles, coinsurance, copayments, or out-of-pocket limits.
Bill text
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Sponsors
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31 on record
Primary sponsor
Joint Committee on Financial Services
Cosponsors
Carmine Lawrence Gentile
David Paul Linsky
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