HOUSE DOCKET, NO. 331        FILED ON: 1/13/2015

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 942

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

John W. Scibak

_________________

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 providing hearing aid coverage for persons with profound hearing loss.

_______________

PETITION OF:

 

Name:

District/Address:

John W. Scibak

2nd Hampshire

Sheila C. Harrington

1st Middlesex

Benjamin Swan

11th Hampden

Angelo J. Puppolo, Jr.

12th Hampden

Carolyn C. Dykema

8th Middlesex

Aaron Vega

5th Hampden

Josh S. Cutler

6th Plymouth

Sarah K. Peake

4th Barnstable

Michael O. Moore

Second Worcester

Ann-Margaret Ferrante

5th Essex

Shawn Dooley

9th Norfolk

Jennifer E. Benson

37th Middlesex

Timothy R. Madden

Barnstable, Dukes and Nantucket

Brian M. Ashe

2nd Hampden

Chris Walsh

6th Middlesex

John V. Fernandes

10th Worcester


HOUSE DOCKET, NO. 331        FILED ON: 1/13/2015

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 942

By Mr. Scibak of South Hadley, a petition (accompanied by bill, House, No. 942) of John W. Scibak and others relative to providing hearing aid coverage for persons with profound hearing loss.  Financial Services.

 

[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE HOUSE, NO. 980 OF 2013-2014.]

 

The Commonwealth of Massachusetts

 

_______________

In the One Hundred and Eighty-Ninth General Court
(2015-2016)

_______________

 

An Act providing hearing aid coverage for persons with profound hearing loss.

 

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: Chapter 118E of the General Laws, as appearing in the 2012 Official Edition, is hereby amended by inserting after section 9C the following section:-

Section 9D. (a) Definitions. As used in the section: (i) Hearing Aid shall mean any wearable, non-disposable instrument or device, not including surgical implants, designed to aid or compensate for impaired or diminished human hearing; and any part, attachments, or accessories including earmolds but excluding batteries. In the event that any part of this definition conflicts with the definition of a hearing aid in section 196 of chapter 112 of the General Laws, this definition will take precedent for the purposes of this section. (ii) Profound Hearing Loss shall mean a pure tone average of 91 decibels (dB) or greater at 500Hz, 1000 Hz, and 2000 Hz. (iii) Related Services shall mean those services necessary to assess, select, and appropriately adjust or fit the hearing aid to ensure optimal performance. (b) A health benefit plan shall provide 80 percent coverage, subject to all applicable co-payments, coinsurance, deductibles, and out-of-pocket limits, in the cost of one hearing aid and all related services per hearing impaired ear, every 24 months for insured individuals with bilateral profound hearing loss, which shall be prescribed by an audiologist or a hearing instrument specialist as defined in section 196 of chapter 12 of the General Laws, and dispensed by an audiologist or a hearing instrument specialist as defined in said section. (c) A health benefit plan shall not be required to pay a claim filed by its insured for payment of the cost of a hearing aid under the coverage required by subsection (2) of this section if less than 2 years prior to the date of the claim its insured filed a claim for payment of cost of a hearing aid under the required coverage and the claim was paid by any health benefit plan.