Amendment #389 to H5150

PANDAS/PANS Insurance Coverage

Mr. Cutler of Pembroke moves to amend the bill by adding the following sections:

SECTION XXXX

Chapter 32A of the General Laws is hereby amended by inserting after section 17Q the following section:-

Section 17R. 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, including, but not limited to, the use of intravenous immunoglobulin therapy.

SECTION XXXX

Chapter 175 of the General Laws is hereby amended by inserting after section 47LL the following section:-

Section 47MM. 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 including, but not limited to, the use of intravenous immunoglobulin therapy.

SECTION XXXX

Chapter 176A of the General Laws is hereby amended by inserting after section 8NN the following section:-

Section 8OO. 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 including, but not limited to, the use of intravenous immunoglobulin therapy.

SECTION XXXX

Chapter 176B of the General Laws is hereby amended by inserting after section 4NN the following section:-

Section 4OO. 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 including, but not limited to, the use of intravenous immunoglobulin therapy.

SECTION XXXX

Chapter 176G of the General Laws is hereby amended by inserting after section 4FF the following section:-

Section 4GG. 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 including, but not limited to, the use of intravenous immunoglobulin therapy.

SECTION XXXX

This act shall apply to contracts that take effect or are renewed on or after January 1, 2022.

Additional co-sponsor(s) added to Amendment #389 to H5150

PANDAS/PANS Insurance Coverage