SENATE DOCKET, NO. 1450        FILED ON: 1/17/2019

SENATE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 587

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Cindy F. Friedman

_________________

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 to establish health equity for pregnant persons.

_______________

PETITION OF:

 

Name:

District/Address:

 

Cindy F. Friedman

Fourth Middlesex

 

Lindsay N. Sabadosa

1st Hampshire

1/29/2019

Jason M. Lewis

Fifth Middlesex

1/24/2019

Jack Patrick Lewis

7th Middlesex

1/24/2019

Harriette L. Chandler

First Worcester

1/28/2019

Maria Duaime Robinson

6th Middlesex

1/28/2019

Mary S. Keefe

15th Worcester

1/28/2019

Julian Cyr

Cape and Islands

1/29/2019

Thomas M. Stanley

9th Middlesex

1/29/2019

William N. Brownsberger

Second Suffolk and Middlesex

1/29/2019

Kenneth I. Gordon

21st Middlesex

1/29/2019

Brian W. Murray

10th Worcester

1/29/2019

Marjorie C. Decker

25th Middlesex

1/29/2019

Sarah K. Peake

4th Barnstable

1/30/2019

Joanne M. Comerford

Hampshire, Franklin and Worcester

1/30/2019

Adam G. Hinds

Berkshire, Hampshire, Franklin and Hampden

1/30/2019

Daniel J. Hunt

13th Suffolk

1/31/2019

Jennifer E. Benson

37th Middlesex

1/31/2019

Sal N. DiDomenico

Middlesex and Suffolk

1/31/2019

Michael O. Moore

Second Worcester

2/1/2019

Carolyn C. Dykema

8th Middlesex

2/1/2019

Eric P. Lesser

First Hampden and Hampshire

2/1/2019

Sean Garballey

23rd Middlesex

2/1/2019

Kay Khan

11th Middlesex

2/1/2019

Liz Miranda

5th Suffolk

2/1/2019

Rebecca L. Rausch

Norfolk, Bristol and Middlesex

2/1/2019

David Henry Argosky LeBoeuf

17th Worcester

2/1/2019

David M. Rogers

24th Middlesex

2/1/2019

James B. Eldridge

Middlesex and Worcester

2/8/2019

 


SENATE DOCKET, NO. 1450        FILED ON: 1/17/2019

SENATE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 587

By Ms. Friedman, a petition (accompanied by bill, Senate, No. 587) of Cindy F. Friedman, Lindsay N. Sabadosa, Jason M. Lewis, Jack Patrick Lewis and other members of the General Court for legislation to establish health equity for pregnant persons.  Financial Services.

 

The Commonwealth of Massachusetts

 

_______________

In the One Hundred and Ninety-First General Court
(2019-2020)

_______________

 

An Act to establish health equity for pregnant persons.

 

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 17C of chapter 32A of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by inserting after the words “coverage for”, in line 3, the following words:- abortion and abortion-related care,.

SECTION 2. Said section 17C of said chapter 32A, as so appearing, is hereby further amended by adding the following sentences:-

Coverage provided under this section shall not be subject to any deductible, coinsurance, copayment or any other cost-sharing requirement. Coverage offered under this section shall not impose unreasonable restrictions or delays in the coverage.

Benefits for an enrollee under this section shall be the same for the enrollee’s covered spouse and covered dependents.

The commission shall ensure plan compliance with this chapter.

SECTION 3. Section 10A of chapter 118E of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by inserting after the words “coverage for”, in line 1, the following words:- abortion and abortion-related care,.

SECTION 4. Said section 10A of said chapter 118E, as so appearing, is hereby further amended by adding the following sentences:-

Coverage provided under this section shall not be subject to any deductible, coinsurance, copayment or any other cost-sharing requirement. Coverage offered under this section shall not impose unreasonable restrictions or delays in the coverage.

Benefits for an enrollee under this section shall be the same for the enrollee’s covered spouse and covered dependents.

Nothing in this section shall be construed to deny or restrict the division’s authority to ensure its contracted health insurers, health plans, health maintenance organizations, behavioral health management firms and third-party administrators under contract to a Medicaid managed care organization or primary care clinician plan are in compliance with this chapter.

SECTION 5. Section 47F of chapter 175 of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by inserting after the words “for the expense of”, in line 20, the following words:- abortion and abortion-related care,.

SECTION 6. Said section 47F of said chapter 175, as so appearing, is hereby further amended by inserting after the third paragraph the following paragraphs:-

Coverage provided under this section shall not be subject to any deductible, coinsurance, copayment or any other cost-sharing requirement. Coverage offered under this section shall not impose unreasonable restrictions or delays in the coverage.

Benefits for an enrollee under this section shall be the same for the enrollee’s covered spouse and covered dependents.

A policy of accident and sickness insurance that is purchased by an employer that is a church or qualified church-controlled organization, as defined in section 47W of this chapter, shall be exempt from covering abortion and abortion-related care at the request of the employer. An employer that invokes the exemption under this section shall provide written notice to prospective enrollees prior to enrollment with the plan and such notice shall list the health care methods and services for which the employer will not provide coverage for religious reasons.

SECTION 7. Section 8H of Chapter 176A of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by inserting after the words “expense for”, in line 8, the following words:- abortion and abortion-related care,.

SECTION 8. Said section 8H of said chapter 176A, as so appearing, is hereby further amended by striking out, in lines 9 and 10, the words “to the same extent that benefits are provided for medical conditions not related to pregnancy”.

SECTION 9. Said section 8H of said chapter 176A, as so appearing, is hereby further amended by inserting after the third paragraph the following paragraphs:-

Coverage provided under this section shall not be subject to any deductible, coinsurance, copayment or any other cost-sharing requirement. Coverage offered under this section shall not impose unreasonable restrictions or delays in the coverage.

Benefits for an enrollee under this section shall be the same for the enrollee’s covered spouse and covered dependents.

A policy of accident and sickness insurance that is purchased by an employer that is a church or qualified church-controlled organization, as defined in section 8W of this chapter, shall be exempt from covering abortion and abortion-related care at the request of the employer. An employer that invokes the exemption under this subsection shall provide written notice to prospective enrollees prior to enrollment with the plan and such notice shall list the health care methods and services for which the employer will not provide coverage for religious reasons.

SECTION 10. Section 4H of chapter 176B of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by inserting after the words “expense for”, in lines 7 and 8, the following words:- abortion and abortion-related care,.

SECTION 11. Said section 4H of said chapter 176B, as so appearing, is hereby further amended by striking out, in lines 8 to 10, inclusive, the words “to the same extent that benefits are provided for medical conditions not related to pregnancy”.

SECTION 12. Said section 4H of said chapter 176B, as so appearing, is hereby further amended by inserting after the third paragraph the following paragraphs:-

Coverage provided under this section shall not be subject to any deductible, coinsurance, copayment or any other cost-sharing requirement. Coverage offered under this section shall not impose unreasonable restrictions or delays in the coverage.

Benefits for an enrollee under this section shall be the same for the enrollee’s covered spouse and covered dependents.

A policy of accident and sickness insurance that is purchased by an employer that is a church or qualified church-controlled organization, as defined in section 4W of this chapter, shall be exempt from covering abortion and abortion-related care at the request of the employer. An employer that invokes the exemption under this subsection shall provide written notice to prospective enrollees prior to enrollment with the plan and such notice shall list the health care methods and services for which the employer will not provide coverage for religious reasons.

SECTION 13. Section 4I of chapter 176G of the General Laws, as appearing in the 2016 Official Edition, is hereby amended by inserting after the words “coverage for”, in lines 1 and 2, the following words:- abortion and abortion-related care,.

SECTION 14. Said section 4I of said chapter 176G, as so appearing, is hereby further amended by inserting after the second paragraph the following paragraphs:-

Coverage provided under this section shall not be subject to any deductible, coinsurance, copayment or any other cost-sharing requirement. Coverage offered under this section shall not impose unreasonable restrictions or delays in the coverage.

Benefits for an enrollee under this section shall be the same for the enrollee’s covered spouse and covered dependents.

A health maintenance contract that is purchased by an employer that is a church or qualified church-controlled organization, as defined in section 40 of this chapter, shall be exempt from covering abortion and abortion-related care at the request of the employer. An employer that invokes the exemption under this subsection shall provide written notice to prospective enrollees prior to enrollment with the plan and such notice shall list the health care methods and services for which the employer will not provide coverage for religious reasons.

SECTION 15. Sections 1 to 14, inclusive, shall apply to all policies, contracts and certificates of health insurance subject to chapters 32A, 118E, 175, 176A, 176B and 176G of the General Laws that are delivered, issued or renewed 6 months from the effective date of this act.