SENATE DOCKET, NO. 923        FILED ON: 1/16/2019

SENATE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 613

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

Jason M. Lewis

_________________

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 insurance coverage for PANDAS/PANS.

_______________

PETITION OF:

 

Name:

District/Address:

 

Jason M. Lewis

Fifth Middlesex

 

Mark J. Cusack

5th Norfolk

1/24/2019

Cynthia Stone Creem

First Middlesex and Norfolk

1/30/2019

Michael O. Moore

Second Worcester

1/31/2019

Michael S. Day

31st Middlesex

2/7/2019

Tami L. Gouveia

14th Middlesex

2/13/2019

Kay Khan

11th Middlesex

2/20/2019

James B. Eldridge

Middlesex and Worcester

3/13/2019

Patrick M. O'Connor

Plymouth and Norfolk

6/20/2019

Sal N. DiDomenico

Middlesex and Suffolk

7/9/2019

Brendan P. Crighton

Third Essex

7/18/2019

Nick Collins

First Suffolk

9/25/2019

Michael D. Brady

Second Plymouth and Bristol

10/10/2019

Walter F. Timilty

Norfolk, Bristol and Plymouth

10/10/2019

John F. Keenan

Norfolk and Plymouth

10/10/2019


SENATE DOCKET, NO. 923        FILED ON: 1/16/2019

SENATE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 613

By Mr. Lewis, a petition (accompanied by bill, Senate, No. 613) of Jason M. Lewis, Mark J. Cusack, Cynthia Stone Creem, Michael O. Moore and other members of the General Court for legislation relative to insurance coverage for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome.  Financial Services.

 

[SIMILAR MATTER FILED IN PREVIOUS SESSION
SEE HOUSE, NO. 572 OF 2017-2018.]

 

The Commonwealth of Massachusetts

 

_______________

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

_______________

 

An Act relative to insurance coverage for PANDAS/PANS.

 

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 32A of the General Laws, as amended by Chapter 403 of the Acts of 2016, is hereby amended by inserting after Section 17K the following section:-

Section 17L. The commission shall provide to any active or retired employee of the Commonwealth who is insured under the group insurance commission, coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome. Said treatment shall include, but not be limited to, the use of Intravenous immunoglobulin (IVIG) therapy.

SECTION 2. Chapter 175 of the General Laws, as amended by Chapter 403 of the Acts of 2016, is hereby amended by inserting after section 47DD the following section:-

Section 47EE. Any policy, contract, agreement, plan or certificate of insurance issued, delivered or renewed within the Commonwealth shall provide coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome. Said treatment shall include, but not be limited to, the use of Intravenous immunoglobulin (IVIG) therapy.

SECTION 3. Chapter 176A of the General Laws, as amended by Chapter 403 of the Acts of 2016, is hereby amended by inserting after section 8EE the following section:-

Section 8FF. Any contract between a subscriber and a corporation under an individual or group hospital service plan delivered, issued or renewed within the Commonwealth shall provide coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome. Said treatment shall include, but not be limited to, the use of Intravenous immunoglobulin (IVIG) therapy.

SECTION 4. Chapter 176B of the General Laws, as amended by Chapter 403 of the Acts of 2016, is hereby amended by inserting after section 4FF the following section:-

Section 4GG. Any subscription certificate under an individual or group medical service agreement delivered, issued or renewed within the Commonwealth shall provide coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome. Said treatment shall include, but not be limited to, the use of Intravenous immunoglobulin (IVIG) therapy.

SECTION 5. Chapter 176G of the General Laws, as amended by Chapter 403 of the Acts of 2016, is hereby amended by inserting after section 4X the following section:-

Section 4Y. Any individual or group health maintenance contract shall provide coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute-onset neuropsychiatric syndrome. Said treatment shall include, but not be limited to, the use of Intravenous immunoglobulin (IVIG) therapy.