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S 742

An Act relative to cognitive rehabilitation for individuals with an acquired brain injury

194th Legislature (2025-2026) Introduced by Nick Collins and 10 co-sponsors

Massachusetts bill mandates health insurance coverage for cognitive rehabilitation services for acquired brain injury patients without arbitrary treatment limits.

Accompanied a study order, see S2931
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Bill Summary · S 742

Legislative bill overview

S 742 mandates insurance coverage for cognitive rehabilitation services for individuals with acquired brain injuries in Massachusetts. The bill requires health insurance plans to cover evidence-based cognitive rehabilitation therapies without arbitrary limits on duration or frequency of treatment.

Why is this important

Acquired brain injuries affect thousands of Massachusetts residents annually through accidents, strokes, and medical events. Without insurance coverage, cognitive rehabilitation—which can restore memory, attention, and executive function—becomes financially inaccessible to many patients, potentially leading to permanent disability and reduced quality of life.

Potential points of contention

  • Cost implications: Insurance carriers may argue expanded coverage increases premiums for all policyholders; actuarial data on long-term costs versus savings from improved outcomes will be critical
  • Definition and scope: "Evidence-based" cognitive rehabilitation requires clear clinical standards; disputes may arise over which providers and treatments qualify for coverage
  • Treatment limitations: Removing arbitrary caps on sessions could incentivize overutilization; balancing access with cost control requires careful monitoring and utilization review protocols

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

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