HOUSE DOCKET, NO. 2612        FILED ON: 1/18/2013

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 986

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Carl M. Sciortino, Jr.

_________________

To the Honorable Senate and House of Representatives of the Commonwealth of Massachusetts in General
Court assembled:

The undersigned legislators and/or citizens respectfully petition for the adoption of the accompanying bill:

An Act relative to HIV-associated lipodystrophy treatment.

_______________

PETITION OF:

 

Name:

District/Address:

Date Added:

Carl M. Sciortino, Jr.

34th Middlesex

1/18/2013

Denise Andrews

2nd Franklin

 

Cory Atkins

14th Middlesex

 

Ruth B. Balser

12th Middlesex

 

Harriette L. Chandler

First Worcester

 

Cheryl A. Coakley-Rivera

10th Hampden

 

Thomas P. Conroy

13th Middlesex

 

Sal N. DiDomenico

Middlesex and Suffolk

 

Gloria L. Fox

7th Suffolk

 

Jonathan Hecht

29th Middlesex

 

Patricia D. Jehlen

Second Middlesex

 

Jay R. Kaufman

15th Middlesex

 

Kay Khan

11th Middlesex

 

Elizabeth A. Malia

11th Suffolk

 

Aaron Michlewitz

3rd Suffolk

 

James J. O'Day

14th Worcester

 

Sarah K. Peake

4th Barnstable

 

Denise Provost

27th Middlesex

 

Tom Sannicandro

7th Middlesex

 

Benjamin Swan

11th Hampden

 

Aaron Vega

5th Hampden

 

Daniel A. Wolf

Cape and Islands

 


HOUSE DOCKET, NO. 2612        FILED ON: 1/18/2013

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 986

By Mr. Sciortino of Medford, a petition (accompanied by bill, House, No. 986) of Carl M. Sciortino, Jr. and others for legislation to require that group and non-group insurance plans cover medical or drug treatments to correct or repair disturbances of body composition caused by HIV-associated lipodystrophy syndrome.  Financial Services.

 

The Commonwealth of Massachusetts

 

_______________

In the Year Two Thousand Thirteen

_______________

 

An Act relative to HIV-associated lipodystrophy treatment.

 

Be it enacted by the Senate and House of Representatives in General Court assembled, and by the authority of the same, as follows:
 

SECTION 1. Section 23 of Chapter 32A of the General Laws, as appearing in the 2000 Official Edition,

is hereby amended by adding the following paragraph:

The commission shall provide to any active or retired employee of the commonwealth and who is insured under the group insurance commission coverage for medical or drug treatments to correct or repair disturbances of body composition caused by lipodystrophy syndrome, including but not limited to reconstructive surgery, such as suction assisted

lipectomy, other restorative procedures, and dermal injections or fillers for reversal of facial lipoatrophy syndrome.  The benefits in this section shall not be subject to any greater deductible, coinsurance, copayments or out-of-pocket limits than any other benefits provided by the insurer.  This section shall also require coverage for such treatments for lipodystrophy under any non-group policy.

SECTION 2. Chapter 175 of the General Laws, as so appearing,

is hereby amended by inserting after Section 47Z the following section:

Section 47AA.  Any policy of accident and sickness insurance as described in section 108 which  provides hospital expense and surgical expense insurance and which is delivered, issued or subsequently renewed by agreement between the insurer and policyholder in the commonwealth; any blanket or general policy of insurance described in subdivision (A), (C) or (D) of section 110 which

provides hospital expense and surgical expense insurance and which is delivered, issued or subsequently renewed by agreement between the insurer and the policyholder, within or without the commonwealth; or any employees’ health and welfare fund which provides hospital expense and surgical expense benefits and which is delivered, issued or renewed to any person or group of persons in the commonwealth, shall provide coverage for medical or drug treatments to correct or repair disturbances of body composition caused by lipodystrophy syndrome, including but not limited to reconstructive surgery, such as suction assisted lipectomy, other  restorative procedures, and dermal injections or fillers for reversal of facial lipoatrophy syndrome.  The benefits in this section shall not be subject to any greater deductible, coinsurance, copayments or out-of-pocket limits than any other benefits provided by the insurer. This section shall also require coverage for such treatments for lipodystrophy under any non-group policy.

SECTION 3. Chapter 176A of the General Laws, as so appearing,

is hereby amended by inserting after Section 8DD the following paragraph:

Section 8EE: Any contract between a subscriber and the corporation under an individual or group hospital service plan which is delivered, issued or renewed in the commonwealth shall provide as benefits to all individual subscribers or members within the commonwealth and to all group members

having principal place of employment within the commonwealth coverage for medical or drug treatments to correct or repair disturbances of body composition caused by lipodystrophy syndrome, including but not limited to reconstructive surgery, such as suction assisted lipectomy, other restorative procedures, and dermal injections or fillers for reversal of facial lipoatrophy syndrome.  The benefits in this section shall not be subject to greater deductible, coinsurance, copayments or out-of-pocket limits than any other benefits provided by the insurer.  This section shall also require coverage for such treatments for lipodystrophy under any non-group policy.

SECTION 4. Chapter 176B of the General Laws, as so appearing,

is hereby amended by inserting after Section DD the following paragraph:

Section EE.  Any subscription certificate under an individual or group medical service agreement that shall be delivered, issued or renewed within the commonwealth shall provide as benefits to all individual subscribers or members within the commonwealth and to all group members having a principal place of employment in the commonwealth coverage for medical or drug treatments to correct or repair disturbances of body composition caused by lipodystrophy syndrome, including but not limited to reconstructive surgery, such as suction assisted lipectomy, other restorative procedures, and dermal injections or fillers for reversal of facial lipoatrophy syndrome.  The benefits in this section shall not be subject to any greater deductible, coinsurance, copayments or out-of-pocket limits than any other benefits provided by the insurer.  This section shall also require coverage for such treatments for lipodystrophy under any non-group policy.

SECTION 5. Chapter 176G of the General Laws, as so appearing,

is hereby amended by inserting after Section 4V the following paragraph:

Section 4W.  An individual or group health maintenance contract shall provide coverage and benefits for medical or drug treatments to correct or repair disturbances of body composition caused by lipodystrophy syndrome, including but not limited to reconstructive surgery, such as suction assisted lipectomy, other restorative procedures, and dermal injections or fillers for reversal of facial lipoatrophy syndrome.  The benefits in this section shall not be subject to any greater deductible, coinsurance, copayments or out-of-pocket limits than any other benefits provided by the insurer. This section shall also require coverage for such treatments for lipodystrophy under any non-group policy.

SECTION 6. Chapter 118E of the General Laws, as so appearing,

is hereby amended by inserting after Section 10F, the following paragraph:

Section 10G. The division shall provide coverage for medical or drug treatments to correct or repair disturbances of body composition caused by lipodystrophy syndrome, including but not limited to reconstructive surgery, such as suction assisted lipectomy, other restorative procedures, and dermal injections or fillers for reversal of facial lipoatrophy syndrome.