An Act providing for certain health insurance coverage
This bill requires all health insurance plans in Massachusetts - including those covering state employees, group plans, and individual policies - to cover the cost of specialized medical formulas (for home use, administered orally or via tube feeding) when prescribed by a doctor for specific serious conditions. It applies to policies governed by Massachusetts law, including group insurance, hospital service plans, and medical service agreements. Coverage is limited to formulas proven effective for conditions like inherited metabolic disorders, Crohn's disease, or severe food allergies, as documented by a physician's written order stating medical necessity. The bill explicitly distinguishes these medically required formulas from general nutritional supplements taken without a medical need.
Bill status
passed
3 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Feb 2025
Senate Passage
Feb 2025
Governor
Introduced Feb 27, 2025
Last action Jan 22, 2026
Floor votes
How they voted
This bill passed the Senate. No roll call record of that vote is available.
Full legislative history
Actions timeline
Total actions
4
Key actions
1
Committee
1
Feb 27, 2025
Upper · Passed
Senate concurred
upper
Feb 27, 2025
Committee
Referred to the committee on Financial Services
lower
0 primary · 2 co-sponsors
Sponsors
No sponsor information available.
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