HOUSE DOCKET, NO. 3860 FILED ON: 1/20/2023
HOUSE . . . . . . . . . . . . . . . No. 3586
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The Commonwealth of Massachusetts
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PRESENTED BY:
Jon Santiago
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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 supporting maternal and pediatric health.
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PETITION OF:
Name: | District/Address: | Date Added: |
Jon Santiago | 9th Suffolk | 1/20/2023 |
HOUSE DOCKET, NO. 3860 FILED ON: 1/20/2023
HOUSE . . . . . . . . . . . . . . . No. 3586
By Representative Santiago of Boston, a petition (accompanied by bill, House, No. 3586) of Jon Santiago relative to healthcare insurance coverage for maternal and pediatric health. Financial Services. |
The Commonwealth of Massachusetts
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In the One Hundred and Ninety-Third General Court
(2023-2024)
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An Act supporting maternal and pediatric health.
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 is hereby amended by adding the following section:-
Section 33. Any coverage offered by the commission to an active or retired employee of the commonwealth insured under the group insurance commission shall provide coverage for a prenatal pediatric visit. The term ‘prenatal pediatric visit’ shall mean an appointment between a pregnant person and a pediatrician to provide a foundation on which to build a positive, family-pediatric professional partnership as recommended by the American Academy of Pediatrics.
SECTION 2. Chapter 118E of the General Laws, as appearing in the 2020 Official Edition, is hereby amended by inserting after section 10Q, the following section:-
Section 10R. (a) The division and 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 shall provide coverage for a prenatal pediatric visit. The term ‘prenatal pediatric visit’ shall mean an appointment between a pregnant person and a pediatrician to provide a foundation on which to build a positive, family-pediatric professional partnership as recommended by the American Academy of Pediatrics.
(b) The division shall provide notice to its members regarding the coverage required by this section. The notice shall be in writing and prominently positioned in any literature or correspondence sent to members and shall be transmitted to members within calendar year when annual information is made available to members, or in any other mailing or communication to members.
SECTION 3. Chapter 175 of the General Laws is hereby amended by inserting after section 47TT the following section:-
Section 47UU. Any policy, contract, agreement, plan or certificate of insurance issued, delivered or renewed within the commonwealth that provides medical expense coverage shall provide coverage for a prenatal pediatric visit. The term ‘prenatal pediatric visit’ shall mean an appointment between a pregnant person and a pediatrician to provide a foundation on which to build a positive, family-pediatric professional partnership as recommended by the American Academy of Pediatrics.
SECTION 4. Chapter 176A of the General Laws is hereby amended by inserting after section 8UU the following section:-
Section 8VV. A contract between a subscriber and the corporation under an individual or group hospital service plan which is delivered, issued or renewed within the commonwealth shall
provide coverage for a prenatal pediatric visit. The term ‘prenatal pediatric visit’ shall mean an appointment between a pregnant person and a pediatrician to provide a foundation on which to build a positive, family-pediatric professional partnership as recommended by the American Academy of Pediatrics.
SECTION 5. Chapter 176B of the General Laws is hereby amended by inserting after section 4UU the following section:-
Section 4VV. Any subscription certificate under an individual or group medical service agreement delivered, issued or renewed within the commonwealth shall provide coverage for a prenatal pediatric visit. The term ‘prenatal pediatric visit’ shall mean an appointment between a pregnant person and a pediatrician to provide a foundation on which to build a positive, family-pediatric professional partnership as recommended by the American Academy of Pediatrics.
SECTION 6. Chapter 176G of the General Laws is hereby amended by inserting after section 4MM the following section:-
Section 4NN. Any individual or group health maintenance contract shall provide coverage for a prenatal pediatric visit. The term ‘prenatal pediatric visit’ shall mean an appointment between a pregnant person and a pediatrician to provide a foundation on which to build a positive, family-pediatric professional partnership as recommended by the American Academy of Pediatrics.