An Act relative to ensuring treatment for genetic craniofacial conditions
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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 expands health insurance coverage in Massachusetts to include medically necessary functional repair or restoration of craniofacial disorders, such as ectodermal dysplasia, dentinogenesis imperfecta, and amelogenesis imperfecta. It applies to various types of insurance plans, including those offered by the state, private insurers, and employer-sponsored health funds. The bill specifically excludes coverage for cleft lip and cleft palate, cosmetic surgery, and routine dental or orthodontic treatment unrelated to these congenital conditions.
Key provisions
- Extends coverage for medically necessary functional repair or restoration of craniofacial disorders to various insurance plans.
- Includes coverage for ectodermal dysplasia, dentinogenesis imperfecta, and amelogenesis imperfecta.
- Excludes coverage for cleft lip and cleft palate.
- Excludes coverage for cosmetic surgery and routine dental or orthodontic treatment unrelated to craniofacial disorders.
- Ensures that benefits provided under this law are not subject to higher deductibles, coinsurance, or out-of-pocket limits than other benefits.
- Applies to blanket policies, accident/sickness insurance, and employers’ health and welfare funds.
- Extends coverage to organizations entering into preferred provider contracts.
- Applies to individual or group hospital service plans and subscription medical service agreements.
Who is affected
Bill text
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Sponsors
Official sponsors from legislative records.
24 on record
Primary sponsor
Joint Committee on Financial Services
Cosponsors
David Henry Argosky LeBoeuf
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