Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H4553

Introduced
9/29/25  
Refer
9/29/25  

Caption

Requiring coverage of medically necessary oral and dental care for head and neck cancer survivor

Impact

If enacted, HB 4553 will substantially enhance the healthcare benefits for head and neck cancer survivors, filling a critical gap in insurance coverage that previously did not encompass necessary preventive and restorative dental care. This is intended to mitigate the risks of infection and manage dental issues that arise due to cancer treatment modalities such as chemotherapy and radiation. It is expected to lead to a more comprehensive healthcare offering that acknowledges the holistic needs of patients recovering from cancer while reinforcing the importance of ongoing oral health in their rehabilitation process.

Summary

House Bill 4553 aims to require health insurance policies in Massachusetts to provide coverage for necessary oral and dental care for individuals who are survivors of head and neck cancer. This legislation directs amendments to existing General Laws, mandating coverage for various types of dental care, from pre-cancer treatments to rehabilitation services following cancer treatment. The bill is structured to ensure that individuals undergoing significant therapies for head and neck cancer have access to the dental care necessary to alleviate and manage the side effects of such treatments, including the impacts on quality of life and social functioning.

Contention

Discussions surrounding HB 4553 reveal both strong support and some opposition. Proponents, including healthcare advocates and cancer survivor groups, argue that the bill addresses an urgent need for medical coverage that impacts quality of life and overall health outcomes for cancer survivors. However, there may be concerns regarding the cost implications for insurers, as mandated coverage could potentially raise premiums. Debates have highlighted the balance between enhancing patient care and managing healthcare costs, reflecting the complexities inherent in healthcare legislation.

Companion Bills

MA H1258

Replaces Requiring coverage of medically necessary oral and dental care for head and neck cancer survivor

Previously Filed As

MA H1258

Requiring coverage of medically necessary oral and dental care for head and neck cancer survivor

MA SF273

Medically necessary dental procedures as a result of cancer treatment health plan coverage requirement provision

MA HF488

Medically necessary dental procedures that are a result of a cancer treatment required to be covered by health plans.

MA SB155

Provides for coverage of certain dental care when connected with cancer treatment. (gov sig) (RE INCREASE GF EX See Note)

MA HCR16

Requesting The Auditor To Assess The Social And Financial Effects Of Requiring Health Insurers To Provide Coverage For Medically Necessary Proton Beam Therapy For Cancer Treatment.

MA SCR51

Requesting The Auditor To Assess The Social And Financial Effects Of Requiring Health Insurers To Provide Coverage For Medically Necessary Proton Beam Therapy For Cancer Treatment.

MA S2599

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

MA H1341

Relative to insurance coverage for medically necessary tattoos

MA AB980

Health care: medically necessary treatment.

MA HB896

Insurance; require health insurance policies to include coverage for medically necessary orthotic and prosthetic devices.

Similar Bills

MA H1258

Requiring coverage of medically necessary oral and dental care for head and neck cancer survivor

CA SB950

Health care coverage: dementia.

TX HB778

Relating to required health benefit plan coverage for gender transition adverse effects and reversals.

NJ S2587

Requires health insurance carriers to categorize mental health treatment and therapy received by victim of domestic violence as medically necessary treatment and provide full benefits coverage therefor.

NJ A3099

Requires health insurance carriers to categorize mental health treatment and therapy received by victim of domestic violence as medically necessary treatment and provide full benefits coverage therefor.

NJ S3262

Requires health insurers to cover Lyme disease.

NJ A3979

Requires health benefits coverage for treatment of lipedema.

MI HB5044

Health occupations: health professionals; policy for the receipt of medically necessary treatment by pupils; require. Amends 1976 PA 451 (MCL 380.1 - 380.1852) by adding sec. 1178b.