An Act relative to insurance coverage for new treatment
Generates a plain-language summary of the bill text and history.
No additional cosponsors.
| Committee | Recommendation | Vote |
|---|---|---|
| J11 | Accompanied | 1 entries |
Chapter 32A of the General Laws, as appearing in the 2024 Official Edition, is hereby amended by inserting after section 17S a new section:-
(a) For the purpose of this section, “detransition-related treatment” shall mean any form of medical, psychological, or psychiatric treatment, including but not limited to mental-health treatment, medical interventions, and surgeries, that stops, reverses, or helps an individual cope with the effects of prior gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A. (b) Any coverage offered by the commission to an active or retired employee of the commonwealth insured under the group insurance commission that covers gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A, shall provide coverage for detransition-related treatment. The benefits in this section shall not be subject to any greater deductible, coinsurance, copayments or out-of-pocket limits than any other benefit provided by the commission.
: Chapter 118E of the General Laws, as appearing in the 2024 Official Edition, is hereby amended by inserting after section 10Q a new section:-
(a) For the purpose of this section, “detransition-related treatment” shall mean any form of medical, psychological, or psychiatric treatment, including but not limited to mental-health treatment, medical interventions, and surgeries, that stops, reverses, or helps an individual cope with the effects of prior gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A. (b) The division and its contracted health insurers, health plans, health maintenance organizations, behavioral health management firms and third-party administrators under contract to a Medicaid managed care organization or primary care clinician plan shall provide coverage under all benefit plans that cover gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A, for detransition-related treatments.
Chapter 175 of the General Laws, as appearing in the 2024 Official Edition, is hereby amended by inserting after section 47UU a new section:-
V. (a) For the purpose of this section, “detransition-related treatment” shall mean any form of medical, psychological, or psychiatric treatment, including but not limited to mental-health treatment, medical interventions, and surgeries, that stops, reverses, or helps an individual cope with the effects of prior gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A. (b) Any policy, contract, agreement, plan or certificate of insurance issued, delivered or renewed within the commonwealth, which is considered creditable coverage under section 1 of chapter 111M, and which covers gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A, shall provide coverage for detransition-related treatment.
Chapter 176A of the General Laws, as appearing in the 2024 Official Edition, is hereby amended by inserting a new section:-
(a) For the purpose of this section, “detransition-related treatment” shall mean any form of medical, psychological, or psychiatric treatment, including but not limited to mental-health treatment, medical interventions, and surgeries, that stops, reverses, or helps an individual cope with the effects of prior gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A. (b) Any contract between a subscriber and the corporation under an individual or group hospital service plan that is delivered, issued or renewed within the commonwealth and that covers gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A, shall provide coverage for detransition-related treatments.
Chapter 176B of the General Laws, as appearing in the 2024 Official Edition, is hereby amended by inserting a new section:-
(a) For the purpose of this section, “detransition-related treatment” shall mean any form of medical, psychological, or psychiatric treatment, including but not limited to mental-health treatment, medical interventions, and surgeries, that stops, reverses, or helps an individual cope with the effects of prior gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A. (b) Any subscription certificate under an individual or group medical service agreement delivered, issued or renewed within the commonwealth that covers gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A, shall provide coverage for detransition-related treatments.
Chapter 176G of the General Laws, as appearing in the 2024 Official Edition, is hereby amended by inserting a new section:-
(a) For the purpose of this section, “detransition-related treatment” shall mean any form of medical, psychological, or psychiatric treatment, including but not limited to mental-health treatment, medical interventions, and surgeries, that stops, reverses, or helps an individual cope with the effects of prior gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A. (b) An individual or group health maintenance contract that is issued or renewed and that covers gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A, shall provide coverage for detransition-related treatments.
SECTION 1. Chapter 32A of the General Laws, as appearing in the 2024 Official Edition, is hereby amended by inserting after section 17S a new section:- Section 17T. (a) For the purpose of this section, “detransition-related treatment” shall mean any form of medical, psychological, or psychiatric treatment, including but not limited to mental-health treatment, medical interventions, and surgeries, that stops, reverses, or helps an individual cope with the effects of prior gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A. (b) Any coverage offered by the commission to an active or retired employee of the commonwealth insured under the group insurance commission that covers gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A, shall provide coverage for detransition-related treatment. The benefits in this section shall not be subject to any greater deductible, coinsurance, copayments or out-of-pocket limits than any other benefit provided by the commission. SECTION 2: Chapter 118E of the General Laws, as appearing in the 2024 Official Edition, is hereby amended by inserting after section 10Q a new section:- Section 10R. (a) For the purpose of this section, “detransition-related treatment” shall mean any form of medical, psychological, or psychiatric treatment, including but not limited to mental-health treatment, medical interventions, and surgeries, that stops, reverses, or helps an individual cope with the effects of prior gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A. (b) The division and its contracted health insurers, health plans, health maintenance organizations, behavioral health management firms and third-party administrators under contract to a Medicaid managed care organization or primary care clinician plan shall provide coverage under all benefit plans that cover gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A, for detransition-related treatments. SECTION 3. Chapter 175 of the General Laws, as appearing in the 2024 Official Edition, is hereby amended by inserting after section 47UU a new section:- Section 47VV. (a) For the purpose of this section, “detransition-related treatment” shall mean any form of medical, psychological, or psychiatric treatment, including but not limited to mental-health treatment, medical interventions, and surgeries, that stops, reverses, or helps an individual cope with the effects of prior gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A. (b) Any policy, contract, agreement, plan or certificate of insurance issued, delivered or renewed within the commonwealth, which is considered creditable coverage under section 1 of chapter 111M, and which covers gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A, shall provide coverage for detransition-related treatment. SECTION 4. Chapter 176A of the General Laws, as appearing in the 2024 Official Edition, is hereby amended by inserting a new section:- Section 39. (a) For the purpose of this section, “detransition-related treatment” shall mean any form of medical, psychological, or psychiatric treatment, including but not limited to mental-health treatment, medical interventions, and surgeries, that stops, reverses, or helps an individual cope with the effects of prior gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A. (b) Any contract between a subscriber and the corporation under an individual or group hospital service plan that is delivered, issued or renewed within the commonwealth and that covers gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A, shall provide coverage for detransition-related treatments. SECTION 5. Chapter 176B of the General Laws, as appearing in the 2024 Official Edition, is hereby amended by inserting a new section:- Section 26. (a) For the purpose of this section, “detransition-related treatment” shall mean any form of medical, psychological, or psychiatric treatment, including but not limited to mental-health treatment, medical interventions, and surgeries, that stops, reverses, or helps an individual cope with the effects of prior gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A. (b) Any subscription certificate under an individual or group medical service agreement delivered, issued or renewed within the commonwealth that covers gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A, shall provide coverage for detransition-related treatments. SECTION 6. Chapter 176G of the General Laws, as appearing in the 2024 Official Edition, is hereby amended by inserting a new section:- Section 34. (a) For the purpose of this section, “detransition-related treatment” shall mean any form of medical, psychological, or psychiatric treatment, including but not limited to mental-health treatment, medical interventions, and surgeries, that stops, reverses, or helps an individual cope with the effects of prior gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A. (b) An individual or group health maintenance contract that is issued or renewed and that covers gender-affirming health care services, defined pursuant to Section 1 of Chapter 9A, shall provide coverage for detransition-related treatments.