Massachusetts 2025-2026 Regular Session

Massachusetts House Bill H4952

Introduced
1/28/26  

Caption

Relative to the diagnosis and treatment of autism spectrum disorder

Impact

The proposed changes will allow a broader range of healthcare professionals to diagnose and treat autism spectrum disorder, thereby potentially increasing the number of providers available to patients. Furthermore, this bill mandates that health insurance policies must conform to its provisions starting January 1, 2027, indicating a significant shift towards more inclusive healthcare practices. This legislative move is expected to alleviate some of the barriers faced by patients in obtaining timely diagnoses and effective treatment options.

Summary

House Bill 4952 aims to amend several sections of the General Laws of Massachusetts regarding the diagnosis and treatment of autism spectrum disorder. The bill expands the definition of 'disability verification' and 'pharmacy care' to include licensed nurse practitioners and licensed psychiatric nurse mental health clinical specialists. By incorporating these additional healthcare providers, the bill seeks to enhance the accessibility and quality of care for individuals diagnosed with autism spectrum disorder.

Contention

Despite its positive intent, the bill may face contention around how it influences the existing healthcare framework. Concerns may arise regarding the qualifications and training of nurse practitioners and psychiatric nurse specialists in handling autism diagnoses, as stakeholders debate the adequacy of training for these roles compared to traditional physician practices. Furthermore, discussions around insurance reimbursement and coverage adequacy might be central to the debates as different interest groups express their views.

Companion Bills

MA H1254

Replaces Relative to the diagnosis and treatment of autism spectrum disorder

Previously Filed As

MA S754

Relative to the diagnosis and treatment of autism spectrum disorder

MA H1254

Relative to the diagnosis and treatment of autism spectrum disorder

MA HB4739

Human services: medical services; coverage for diagnosis of autism spectrum disorders and treatment of autism spectrum disorders; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109u.

MA HB564

Relating to health benefit plan coverage for treatment of autism spectrum disorders.

MA SB563

Relating to health benefit plan coverage for treatment of autism spectrum disorders.

MA HB5225

AUTISM SPECTRUM-DIAGNOSIS

MA H0717

Autism Spectrum Disorder

MA HB1586

To Amend The Medicaid Waiver For Autism Spectrum Disorder To Clarify The Number And Type Of Qualified Professionals To Diagnose Autism Spectrum Disorder.

MA SB380

Revises provisions relating to autism spectrum disorders. (BDR 23-118)

MA HB634

Relative to the New Hampshire council on autism spectrum disorders.

Similar Bills

MA H1254

Relative to the diagnosis and treatment of autism spectrum disorder

AZ HB2025

Scope of practice; medical assistants

GA HB36

Guardian and ward; revise list of providers who are authorized to participate in the processes for appointment of a guardian for an adult

MA S754

Relative to the diagnosis and treatment of autism spectrum disorder

FL H1341

Health Care Practitioner Identification

MA S1073

Relative to capacity determination

MA H1736

Relative to determining capacity and invoking the health care proxy

FL S0172

Health Care Practitioner Specialty Titles and Designations