H 4343
An Act ensuring access to full spectrum pregnancy care
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Bill overview
This bill amends several sections of Massachusetts General Laws to broaden the definition of ‘full spectrum pregnancy care’ and ensure access to a wider range of reproductive health services. Specifically, it expands the recognized credentials for providers offering such care to include licensed certified professional midwives, and removes language restricting services to ‘abortion or abortion-related care.’ The bill also mandates plan compliance with these changes for health insurers and managed care organizations.
Key provisions
- Expands the definition of ‘certified nurse midwife’ to include ‘licensed certified professional midwife.’
- Removes restrictions on services related to ‘abortion or abortion-related care.’
- Requires health insurers and managed care organizations to comply with the expanded definition of pregnancy care.
- Updates relevant sections of chapters 32A, 118E, 175, 176A, 176B, and 176G of the General Laws.
- Establishes a timeline of 6 months for the changes to apply to new policies, contracts, and certificates.
- Assigns responsibility to the commissioner and commission to ensure plan compliance.
- Clarifies the division’s authority to oversee contracted health plans.
- Addresses coverage for midwives within existing healthcare plans.
Who is affected
- Healthcare insurers
- Health plans
- Health maintenance organizations
- Behavioral health management firms
- Third-party administrators
Notable changes
Sponsors
Official sponsors from legislative records.
Primary sponsor
Joint Committee on Financial Services
Cosponsors
Adrianne Pusateri Ramos
Amy Mah Sangiolo
Brian W. Murray
Christine P. Barber
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Bill H.4343 194th (Current)
An Act ensuring access to full spectrum pregnancy care
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Bill Information
Bill Information
Sponsor: Joint Committee on Financial Services Status: Referred to House Committee on Ways and Means
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Bill History Cosponsors Committee Vote Fiscal Note Committee Summary
Bill History
Displaying 4 actions for Bill H.4343
| Date | Branch | Action |
| 7/31/2025 | House | Reported from the committee on Financial Services |
| 7/31/2025 | House | New draft of H1311 |
| 7/31/2025 | House | Reported favorably by committee and referred to the committee on Health Care Financing |
| 12/4/2025 | House | Committee recommended bill ought to pass and referred to the committee on House Ways and Means |
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