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H 1311

An Act ensuring access to full spectrum pregnancy care

194th Legislature (2025-2026) Introduced by Jenny Armini and 30 co-sponsors

Massachusetts bill mandates comprehensive insurance coverage for all pregnancy-related care including prenatal, delivery, postpartum, and pregnancy loss services to eliminate cost-based care barriers.

Hearing rescheduled to 04/29/2025 from 10:00 AM-01:00 PM in A-2 and Virtual Hearing updated to New End Time
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Bill Summary · H 1311

Legislative bill overview

H 1311 ensures comprehensive pregnancy care access by requiring health insurance coverage for the full spectrum of pregnancy outcomes, including prenatal care, delivery, postpartum care, and pregnancy loss management. The bill aims to eliminate gaps in coverage that may force patients to choose between different care options based on financial constraints rather than medical need.

Why is this important

Pregnancy-related care represents significant out-of-pocket costs for many Massachusetts residents, and inconsistent insurance coverage can delay necessary medical treatment or force difficult financial decisions during vulnerable health situations. The bill addresses both maternal health outcomes and healthcare equity, as cost barriers disproportionately affect lower-income families and communities of color.

Potential points of contention

  • Definition and scope disputes: Disagreement over what constitutes "full spectrum" care, including whether it covers all fertility-adjacent services, experimental treatments, or specific medications
  • Insurance cost impacts: Insurers and employers may argue expanded mandates increase premiums, while advocates counter that preventive care reduces long-term costs
  • Abortion coverage interpretation: Potential debate over whether "full spectrum" language includes abortion services, given Massachusetts' existing protections and the bill's neutral framing around "pregnancy outcomes"

Compiled from official sources — confirm details with the bill’s official record.

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