WeVote
Log In

Bill

Bill

H 4336

An Act relative to insurance coverage of mobile integrated health

194th Legislature (2025-2026) Introduced by Mike Finn

Massachusetts bill mandates health insurance coverage for mobile integrated health services delivered by paramedics and EMTs to expand community-based preventive care access.

Committee recommended bill ought to pass and referred to the committee on House Ways and Means
0
WeVote Research Nonpartisan
Bill Summary · H 4336

Legislative bill overview

H 4336 requires health insurance plans in Massachusetts to cover mobile integrated health (MIH) services—preventive and primary care delivered by paramedics and emergency medical technicians outside traditional clinical settings. The bill mandates insurance coverage parity for these services when provided by certified MIH personnel, establishing reimbursement standards for insurers.

Why is this important

This legislation could expand healthcare access to underserved populations by leveraging existing EMS infrastructure to deliver routine care in homes and communities. It addresses healthcare workforce shortages and may reduce emergency department overcrowding by redirecting non-emergency cases to appropriate care levels, though it increases costs for insurers that must be reflected in premiums or absorbed systemically.

Potential points of contention

  • Cost implications: Mandating insurance coverage increases healthcare costs; unclear whether savings from reduced ED utilization offset new MIH service expenses
  • Scope and quality standards: Bill definition of qualifying MIH services and required provider credentials may be too broad or too narrow, affecting access versus patient safety
  • Reimbursement rates: Establishing appropriate payment levels for paramedic-delivered services is complex; rates too low discourage participation, rates too high burden insurers
  • Regulatory clarity: Questions remain about licensure, oversight, liability, and integration with existing healthcare delivery systems

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

Sign in to ask a question.