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HOUSE DOCKET, NO. 780         FILED ON: 1/19/2011

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 324

 

The Commonwealth of Massachusetts

_________________

PRESENTED BY:

John W. Scibak

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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 to provide hearing aid coverage for persons with profound hearing loss .

_______________

PETITION OF:

 

Name:

District/Address:

Carl M. Sciortino, Jr.

34th Middlesex

Peter V. Kocot

1st Hampshire

George T. Ross

2nd Bristol

James B. Eldridge

 

Walter F. Timilty

7th Norfolk

Martin J. Walsh

13th Suffolk

Susan C. Fargo

 

James J. O'Day

14th Worcester

David Paul Linsky

5th Middlesex

Stephen L. DiNatale

3rd Worcester

David B. Sullivan

6th Bristol

Denise Provost

27th Middlesex

Gale D. Candaras

 

Christine E. Canavan

10th Plymouth

Kathi-Anne Reinstein

16th Suffolk

Joyce A. Spiliotis

12th Essex

Carlo Basile

1st Suffolk

Robert M. Koczera

11th Bristol

Tom Sannicandro

7th Middlesex

Anne M. Gobi

5th Worcester

Theodore C. Speliotis

13th Essex

Bruce J. Ayers

1st Norfolk

Aaron Michlewitz

3rd Suffolk

Sean Garballey

23rd Middlesex


HOUSE DOCKET, NO. 780        FILED ON: 1/19/2011

HOUSE  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  No. 324

By Mr. Scibak of South Hadley, a petition (accompanied by bill, House, No. 324) of Carl M. Sciortino, Jr. and others for legislation to provide hearing aid coverage for persons with profound hearing loss.  Financial Services.


The Commonwealth of Massachusetts
 

_______________

In the Year Two Thousand Eleven

_______________

 

An Act to provide 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 2004 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 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.

              (d) 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.

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