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H 1253

An Act relative to insurance coverage for certain surgeries

194th Legislature (2025-2026) Introduced by Marc Lombardo

Massachusetts bill mandating insurance coverage for unspecified surgical procedures; advances to public hearing with unknown fiscal and healthcare access implications.

Hearing scheduled for 10/08/2025 from 10:30 AM-02:30 PM in Gardner Auditorium
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Bill Summary · H 1253

Legislative bill overview

H 1253 would mandate insurance coverage for certain surgical procedures in Massachusetts. The bill's specific procedures are not detailed in the provided information, making full assessment difficult. The legislation has advanced through initial procedural steps and is scheduled for a public hearing in October 2025.

Why is this important

Insurance coverage mandates directly affect healthcare costs for individuals and insurers, potentially influencing premium rates and treatment access. The outcome could expand patient options for needed procedures or create new costs that insurers pass to consumers through higher premiums.

Potential points of contention

  • Scope ambiguity: The specific surgeries covered are not defined in available materials, raising questions about which procedures qualify and whether the list is comprehensive or limited
  • Cost implications: Insurance mandates increase insurer expenses, potentially raising premiums across the market; fiscal impact analysis would be essential but isn't provided
  • Medical necessity standards: Disputes may arise over what qualifies as medically necessary versus elective, and whether coverage should apply uniformly or with restrictions

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

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