H 5385 Massachusetts House · 194th Legislature (2025-2026)

An Act to provide rapid whole genome sequencing

This bill directs Massachusetts health officials to cover rapid whole genome sequencing for Medicaid patients under 21 who have complex or acute illnesses of unknown cause while in intensive care. The test, which analyzes a patient's entire genetic code to find disease-causing changes, must return preliminary results within five days and final results within two weeks. Coverage is limited to cases where the patient exhibits specific severe symptoms, such as multiple congenital anomalies, refractory seizures, or abnormal heart function, and where timely genetic diagnosis is necessary to guide treatment. To support this new service, the bill requires the state to set a separate reimbursement rate for hospitals that performs the testing outside of standard bundled payments.
Bill status in committee 1 of 4 stages cleared
Introduction
Apr 2026
Committee Review
Floor Vote
Governor
Introduced Apr 23, 2026 Last action Apr 23, 2026
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Full legislative history

Actions timeline

Total actions
3
Key actions
2
Committee
2
Apr 23, 2026
Lower · Passed
Bill reported favorably by committee and referred to the committee on House Ways and Means
lower
Apr 23, 2026
Lower · Passed
Reported from the committee on Health Care Financing
lower
0 primary · 3 co-sponsors

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