HD 914 Massachusetts House · 194th Legislature (2025-2026)

An Act relative to eliminating the PCP referral requirement for specialty gynecological care

This bill eliminates a requirement for patients to get referrals from primary care doctors before seeing gynecologists or related specialists. It directly affects patients seeking specific gynecological care covered by insurance, including annual preventive exams, menstrual health issues (like heavy bleeding), maternity care, and emergency gynecological conditions. Insurance companies can no longer demand these referrals when patients visit OB/GYNs, nurse-midwives, or family practitioners in their network. The change simplifies access to timely care for these common health needs without altering insurance coverage.
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