Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H1253

Introduced
2/27/25  

Caption

Relative to insurance coverage for certain surgeries

Impact

If enacted, H1253 will amend Chapters 32A, 118E, 175, 176A, 176B, and 176G of the Massachusetts General Laws to require insurance coverage for excess skin removal surgery. This will affect a wide range of insurance policies, including those issued by the Group Insurance Commission, health maintenance organizations, and individual medical service agreements. By mandating this coverage, the bill could significantly alleviate the out-of-pocket expenses for many patients, particularly those with existing skin conditions or excess skin as a result of significant weight loss, contributing positively to their physical and mental well-being.

Summary

House Bill 1253, titled 'An Act relative to insurance coverage for certain surgeries', seeks to amend several chapters of the General Laws of the Commonwealth of Massachusetts to ensure that insurance companies provide coverage for excess skin removal surgical procedures. The bill aims to address a growing concern regarding the financial burden on individuals who require these procedures for medical and health reasons but may currently not have adequate insurance coverage for such operations. This proposed legislation reflects a shift towards more inclusive health care policies, emphasizing the need for comprehensive insurance that responds to the diverse needs of patients.

Contention

However, the introduction of this bill may spark discussions surrounding the criteria for insurance coverage and its implications on insurance premiums. Supporters argue that providing coverage for medically necessary procedures such as excess skin removal not only improves patient care but also may reduce long-term health costs by preventing secondary health issues related to excess skin. Conversely, opponents may raise concerns about the financial impact on insurance providers and the potential for increased premiums for policyholders. The debate could center around defining what constitutes a medically necessary procedure and ensuring that coverage is consistent across different plans.

Companion Bills

MA H5225

Replaced by Study Order

Previously Filed As

MA HB4294

Health insurance; fair coverage; epilepsy; termination of coverage; devices; surgeries; effective date.

MA H1172

Relative to insurance coverage for new treatment

MA H1341

Relative to insurance coverage for medically necessary tattoos

MA SB83

To Mandate Coverage For Breast Reconstruction Surgeries; To Require Prior Authorization For Breast Reconstruction Surgeries; And To Establish A Minimum Reimbursement Rate For Breast Reconstruction Surgeries.

MA SB1014

Insurance; gender surgeries; documentation; reports

MA S2599

Providing insurance coverage for the medically necessary treatment of port-wine stains

MA H1165

Providing for certain health insurance coverage

MA H4937

Providing for certain health insurance coverage

MA S789

Relative to insurance coverage for doula services

MA H1323

Relative to insurance coverage for individuals with autism

Similar Bills

No similar bills found.