An Act supporting maternal and pediatric health

HD 963 requires all health insurance plans in Massachusetts to cover "prenatal pediatric visits" - defined as appointments between a pregnant person and a pediatrician to establish a family-pediatric partnership - as recommended by the American Academy of Pediatrics. The bill directly affects state employees, Medicaid members, and individuals with private health insurance, group hospital plans, and health maintenance contracts. Key provisions mandate coverage for these visits in state employee plans (Ch. 32A), Medicaid managed care (Ch. 118E), private health insurance (Ch. 175), and other covered plans (Chs. 176A, 176B, 176G). Insurers must also provide written notice to members about this coverage, prominently included in annual communications. The policy change standardizes this specific preventive care coverage across multiple insurance categories without altering eligibility or funding.